2HR-95960-71275
2 vaccinations
8 coded responses
14 check-ins
8 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 908 / CA
- Registered
- 2021-09-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-07-28
Dose 1 — Moderna
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2021-09-18
Dose 2 — Moderna
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2021-09-19
Registered in v-safe
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2021-09-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-09-19
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-20
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Feeling jittery, Gait disturbance, Lymph node pain, Vertigo — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yesterday my joint pain was so severe i could not walk without assistance and i have had 3 episodes of vertigo between yesterday/today. I had severe pain in all my lymph nodes (neck, arm pit, belly groin, neck) lessening. Today very jittery feelingMedDRA releases: 2024-11 · check-in free text available
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2021-09-20
Report sent to call center — days 1–6 daily, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-09-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal, Feeling jittery, Office visit — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Dizziness, jittery, hung over feeling... · Healthcare visit (other): Got blood panel by primary and seeong rheumatologist next weekMedDRA releases: 2024-11 · check-in free text available
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2021-09-21
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-09-22
Survey response — days 1–6 daily, dose 2MedDRA: Hepatic enzyme increased, Pain in extremity — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain right leg. Dr did blood ... now my liver enzymes elevated.. will do rheumatologist panel next weekMedDRA releases: 2024-11 · check-in free text available
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2021-09-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness, NauseaAdult check-in
- 2021-09-24
- 2021-09-25
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2021-10-02
Survey response — day 14, dose 2MedDRA: Arthralgia, Chest pain, Headache, Hepatic enzyme increased, Lethargy, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain is a little back, feeling super lethargic, slight headaches and body aches, chest pain, new elevated liver enzymes since after shot and more blood work pendingMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Survey response — day 21, dose 2MedDRA: Abdominal pain, Arthralgia, Bronchitis, Chest discomfort, Chest pain, Headache, Hepatic enzyme increased, Laryngitis, Lymph node pain, Urinary tract infection, White blood cells urine — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Bronchitis Laryngitis Headaches Chest pain pressure and burning Tummy pain in lymph nodes Joint pain -Urine had infection with white blood cells in kidney -Alt liver ezymes slightly elevated -chest xray clearMedDRA releases: 2024-11 · check-in free text available
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2021-10-09
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-12
Call successfulCompleted over the phone
- 2021-10-16
- 2021-10-25
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2021-10-30
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Acupuncture, Bronchitis, Gastrooesophageal reflux disease, Inflammation, Laryngitis, Malaise, Nausea — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: After started to recover from bronchitis/laryngitis really bad stomach pain, nausea and acid reflux... its been non-stop inflammation manifesting in different parts of my body ever since the 2nd shot made me very ill · Healthcare visit (other): Acupuncture treatmentsMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-02
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2021-12-18
Survey response — 3 months, dose 2MedDRA: Arthralgia, Diarrhoea, Fatigue, Inflammation, Malaise, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: #NAME?MedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2021-12-21
Call successfulReported to VAERS during previous contact from GDIT
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2022-03-24
Survey response — 6 months, dose 2MedDRA: Arthralgia, COVID-19, Cough, Fatigue, Nausea, Nodule, Office visit, Oropharyngeal pain, Pain, Pyrexia, Skin mass — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Increase in Painful nodules under skin arms/legs/spine, seeking rheumatologist/ dermatologist care Then had covid 17 day ago. Recovered 4 days ago with linger cough/fatigue. Today feeling feverish, achey, sore throat, some nausea, joint pain · Healthcare visit (other): In person appointments with specialistsMedDRA releases: 2024-11 · check-in free text available
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2022-03-24
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
- 2022-09-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-28 | Moderna | No |
| 2 | 2021-09-18 | Moderna | No |
Call center
7 call center cases
5 successful · 2 unsuccessful
VAERS report filed, before or during a call: 6
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday my joint pain was so severe i could not walk without assistance and i have had 3 episodes of vertigo between yesterday/today. I had severe pain in all my lymph nodes (neck, arm pit, belly groin, neck) lessening. Today very jittery feeling cut off by CDC
Systemic reaction (other): Dizziness, jittery, hung over feeling...
Healthcare visit (other): Got blood panel by primary and seeong rheumatologist next week
Systemic reaction (other): Pain right leg. Dr did blood ... now my liver enzymes elevated.. will do rheumatologist panel next week
Release 9 — day 14, dose 2
Symptoms: Joint pain is a little back, feeling super lethargic, slight headaches and body aches, chest pain, new elevated liver enzymes since after shot and more blood work pending
Release 10 — day 21, dose 2
Symptoms: Bronchitis Laryngitis Headaches Chest pain pressure and burning Tummy pain in lymph nodes Joint pain -Urine had infection with white blood cells in kidney -Alt liver ezymes slightly elevated -chest xray clear
Release 10 — day 42, dose 2
Symptoms: After started to recover from bronchitis/laryngitis really bad stomach pain, nausea and acid reflux... its been non-stop inflammation manifesting in different parts of my body ever since the 2nd shot made me very ill
Healthcare visit (other): Acupuncture treatments
Release 10 — 3 months, dose 2
Symptoms: #NAME?
Release 11 — 6 months, dose 2
Symptoms: Increase in Painful nodules under skin arms/legs/spine, seeking rheumatologist/ dermatologist care Then had covid 17 day ago. Recovered 4 days ago with linger cough/fatigue. Today feeling feverish, achey, sore throat, some nausea, joint pain
Healthcare visit (other): In person appointments with specialists
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 | Acupuncture | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Lymph node pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Nodule | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Skin mass | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | White blood cells urine | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Feeling jittery | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Hepatic enzyme increased | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release