2HS-21354-09086
5 vaccinations
17 coded responses
64 check-ins
16 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-27
Registered in v-safe
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2021-01-27
Dose 1 — Moderna
- 2021-01-27
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Dehydration — Feeling: Good · Site: Pain · Chills, Fatigue or tirednessFree text: DehydratedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-02-03
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2021-02-10
Survey response — day 14, dose 1MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Lymph glands. under right arm sore and a bit swollen Shot was in left arm. Pain subsidingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Health check-in — day 0, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just really tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Chills, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-13
- 2021-03-19
- 2021-03-26
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2021-04-03
Survey response — day 35, dose 2MedDRA: Cough — Feeling: GoodFree text: Persistsnt dry cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-05-28
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue — Feeling: FairFree text: Dry an uncomfortable cough which is quite fatiguin. gMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-27
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2021-10-24
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Feeling abnormal, Headache, Pain — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Day one chills aches headache felt bad.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness, DiarrheaFree text: Not todayMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-10-31
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: No. Getting better. Slower this time but getting betterMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — day 14, dose 3MedDRA: Epistaxis, Pruritus, Rash — Feeling: FairFree text: Heavy nose bleed. Rash on abdomen with itching. Today the rash much improved.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-21
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2021-11-28
Health check-in — day 35, dose 3Feeling: FairFree text: Aches in joints fatigue just out of sortsAdult check-in · check-in free text available
- 2021-12-05
- 2022-01-24
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2022-04-18
Dose 4 — Moderna
- 2022-04-18
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2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: By noon today I was much improvedMedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Muscle or body achesFree text: Overall much betterMedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-24
- 2022-05-30
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2022-07-18
Survey response — 3 months, dose 4MedDRA: Balance disorder, Fall — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Took a bad fall · Healthcare visit (other): Balance problemMedDRA releases: 2024-11 · check-in free text available
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2022-07-18
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-07-19
Call successfulNot applicable - Accidental Reporting
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2022-10-11
Dose 5 — Moderna
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2022-10-11
Health check-in — day 0, dose 5Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Rash, not including the immediate area around the injection siteAdult check-in
- 2022-10-16
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2022-10-17
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: It is clearing more each dayMedDRA releases: 2024-11 · check-in free text available
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2022-10-18
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: No it's my birthdayMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Survey response — day 14, dose 5MedDRA: Discomfort, Medical counselling, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My rash is uncomfortable itching but got help from pharmacy which is helping. · Healthcare visit (other): Pharmacy very helpfulMedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 14, dose 5Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-26
Call successfulDoes not wish to fill out VAERS report
- 2022-11-01
- 2022-11-08
- 2022-11-15
- 2022-11-22
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2023-01-10
Survey response — 3 months, dose 5MedDRA: Neuropathy peripheral, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-01-10
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-01-11
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2023-01-12
Callback requested for03:00PM ET
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2023-01-12
Call successfulDoes not wish to fill out VAERS report
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2023-04-11
Survey response — 6 months, dose 5MedDRA: Balance disorder, Neuropathy peripheral, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-11
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-04-12
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-10-11 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Dehydrated
Release 4 — day 14, dose 1
Symptoms: Lymph glands. under right arm sore and a bit swollen Shot was in left arm. Pain subsiding
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just really tired
Release 6 — day 35, dose 2
Symptoms: Persistsnt dry cough.
Release 8 — 3 months, dose 2
Symptoms: Dry an uncomfortable cough which is quite fatiguin. g
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Day one chills aches headache felt bad.
Systemic reaction (other): Not today
Release 10 — day 7, dose 3
Systemic reaction (other): No. Getting better. Slower this time but getting better
Release 10 — day 14, dose 3
Symptoms: Heavy nose bleed. Rash on abdomen with itching. Today the rash much improved.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): By noon today I was much improved
Systemic reaction (other): Overall much better
Release 12 — day 35, dose 3
Symptoms: Aches in joints fatigue just out of sorts
Release 12 — 3 months, dose 4
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): It is clearing more each day
Release 12 — day 7, dose 5
Systemic reaction (other): No it's my birthday
Release 12 — day 14, dose 5
Symptoms: My rash is uncomfortable itching but got help from pharmacy which is helping.
Healthcare visit (other): Pharmacy very helpful
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 | Balance disorder | · | · | ✓ |
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Balance disorder | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Neuropathy peripheral | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release