2A8-25330-77233
5 vaccinations
5 coded responses
29 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 958 / CA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
- 2021-01-19
- 2021-01-22
- 2021-01-23
- 2021-01-25
- 2021-02-02
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-22
- 2021-03-01
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Having increased neuropathy of feet. Unknown if any relationship to vaccine. · Healthcare visit (other): New appointment with podiatrist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-03-23
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-09-27
Dose 3 — Moderna
-
2021-10-24
Survey response — day 21, dose 3MedDRA: Arthralgia, Body temperature increased, Chills, Fatigue, Headache, Hypersomnia, Injection site erythema, Injection site swelling, Pain, Pain of skin, Pyrexia, Self-medication, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: 12 hrs after full dose Moderna booster had severe chills, shaking, 99.8F temp, joint/ skin aching. Next day extreme fatigue, fever, aching, headache, slept most of day. Tylenol around clock to keep fever below 100F. Red swollen inject site for week.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-02
- 2021-11-09
- 2021-12-16
- 2021-12-27
-
2022-03-31
Dose 4 — Moderna
- 2022-04-01
-
2022-04-14
Survey response — day 14, dose 4MedDRA: Back pain, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activitiesFree text: One week after vaccine booster, experienced significant lower back pain for several days. This was a repeat of symptoms from my first booster as well.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-21
- 2022-04-28
- 2022-05-06
- 2022-05-13
- 2022-06-30
-
2022-09-30
Dose 5 — Moderna
-
2023-03-31
Survey response — 12 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-31
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-31
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-03-31
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2023-04-03
Call successfulNot applicable - Accidental Reporting
-
2023-04-03
Call successfulCompleted over the phone
-
2023-04-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-09-27 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 5 — day 21, dose 2
Symptoms: Having increased neuropathy of feet. Unknown if any relationship to vaccine.
Healthcare visit (other): New appointment with podiatrist.
Release 10 — day 21, dose 3
Symptoms: 12 hrs after full dose Moderna booster had severe chills, shaking, 99.8F temp, joint/ skin aching. Next day extreme fatigue, fever, aching, headache, slept most of day. Tylenol around clock to keep fever below 100F. Red swollen inject site for week. cut off by CDC
Release 11 — day 14, dose 4
Symptoms: One week after vaccine booster, experienced significant lower back pain for several days. This was a repeat of symptoms from my first booster as well.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release