2H9-33248-86641
1 vaccination
3 coded responses
6 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 992 / WA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Fatigue, Hypersomnia, Immediate post-injection reaction, Musculoskeletal stiffness, Non-cardiac chest pain, Pain in extremity, Painful respiration — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in both arms and chest(not cardiac) when I take a breath, not the worst pain but noted, the other noticeable change is Im muscle stiff. The day after the shot I was at severe level. Also very tired and slept a good portion of the day away. The only other thing that I noticed was a peculiar taste in my mouth shortly after the shot it went away within 10-15 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Sooooo tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-03
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2022-02-03
Survey response — 12 months, dose 1MedDRA: Emergency care, Exposure to SARS-CoV-2, Kidney infection, Nephrolithiasis, Quarantine, Respiratory failure — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Sept. 2021 ER for respiratory failure. Jan. 2022 ER for kidney stone and a kidney infection. While in the ER was exposed to Covid then had to quarantine for 2 weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 12 months, dose 1Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-02-04
- 2022-02-07
- 2022-02-08
-
2022-02-17
Callback requested for04:00PM ET
-
2022-02-17
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in both arms and chest(not cardiac) when I take a breath, not the worst pain but noted, the other noticeable change is Im muscle stiff. The day after the shot I was at severe level. Also very tired and slept a good portion of the day away. The only other thing that I noticed was a peculiar taste in my mouth shortly after the shot it went away within 10-15 minutes.
Systemic reaction (other): Sooooo tired
Release 11 — 12 months, dose 1
Symptoms: Sept. 2021 ER for respiratory failure. Jan. 2022 ER for kidney stone and a kidney infection. While in the ER was exposed to Covid then had to quarantine for 2 weeks.
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 |
|---|---|---|---|---|
| SD | Emergency care | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Quarantine | · | · | ✓ |
| SD | Respiratory failure | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Non-cardiac chest pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release