2SP-21026-85415
3 vaccinations
12 coded responses
30 check-ins
12 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 773 / TX
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Registered in v-safe
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2021-02-16
Dose 1 — Moderna
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2021-02-16
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain lower — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Severe stabbing lower abdominal pain on right side. But now gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash actually increased with itching away from shot area. Taking BenadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash pruritic, Self-medication — Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash is worse. Very itchy. Using ice and BenadrylMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Urticaria — Feeling: Good · Site: Redness · Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Continue hives on top of hands, buttocks, chest, abdomen. Itchy is worse at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — day 7, dose 1Feeling: Good · Site: Redness · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-02
Survey response — day 14, dose 1MedDRA: Ocular hyperaemia — Feeling: GoodFree text: Have a lot of red on my white area of eyeball. Possibly from sheet rock dust repair from pipe leak above ceiling. Keeping an eye on it. Still battling hives on multiple areas.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
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2021-03-17
Dose 2 — Moderna
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2021-03-24
Survey response — day 7, dose 2MedDRA: Groin pain, Hepatic pain, Inflammation, Office visit, Pain, Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Redness, Itching · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Pain in liver area and lower groin as I did from first shot I also have these sharp pains · Healthcare visit (other): Regular doctor visit, but showed him the rash. He believes it is being caused by internal inflammationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-31
Survey response — day 14, dose 2MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My rash other than injection site has increased in redness, itching, and raised bumps over legs, top of hands, and now spreading to upper chest and neck. Ice is the only relief. Occasional slight elevation of temperature to 99.1 and chills. · Healthcare visit (other): Office visit to DoctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
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2021-04-14
Survey response — day 28, dose 2MedDRA: Pruritus, Rash, Rash erythematous — Feeling: Good · Be unable to do your normal daily activitiesFree text: My rash moved to my left leg and has been very itchy and raised red bumps. Ice has helped the most.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
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2021-04-28
Survey response — day 42, dose 2MedDRA: Inflammation, Rash, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: My rash on my body has not gone away. I am taking supplements to reduce inflammation which helps some. Ice continues to be my best friend. Been to some regular follow up with doctors. I am not working. If I was I would be distracted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-09
Call successfulCompleted over the phone
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2021-06-09
Call successfulCompleted over the phone
- 2021-06-16
- 2021-09-15
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2021-10-24
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Influenza like illness, Mobility decreased, Pyrexia — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: For 2 days following shot I had 101 fever, bad headaches, flu like symptoms. Had to stay in bed.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-31
Health check-in — day 7, dose 3Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
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2022-01-23
Survey response — 3 months, dose 3MedDRA: Pre-existing disease, Rash pruritic, Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: I was diagnosed to be allergic to cows milk, whey, and pineapple. I continue to suffer from hives/rash that are extremely itchy. Only relief is from cold gel peas compress. The hives/rash started with 1 shingrex shot and Covid vaccines.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Survey response — 6 months, dose 3MedDRA: Cardiac flutter, Fear, Food allergy, Milk allergy, Rash, Urticaria — Feeling: Poor · 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: My reaction to the shots giving me rash and hives continues. Only since I received shots I am now allergic to cows milk, whey and pineapple. Also, I have heart flutters on occasion. Scary stuff! I am scared to get second booster shot!MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 6 months, dose 3Be 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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2022-04-25
Call successfulCompleted over the phone
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Severe stabbing lower abdominal pain on right side. But now gone.
Systemic reaction (other): Rash actually increased with itching away from shot area. Taking Benadryl
Systemic reaction (other): Rash is worse. Very itchy. Using ice and Benadryl
Systemic reaction (other): Continue hives on top of hands, buttocks, chest, abdomen. Itchy is worse at night.
Release 4 — day 14, dose 1
Symptoms: Have a lot of red on my white area of eyeball. Possibly from sheet rock dust repair from pipe leak above ceiling. Keeping an eye on it. Still battling hives on multiple areas.
Release 6 — day 7, dose 2
Systemic reaction (other): Pain in liver area and lower groin as I did from first shot I also have these sharp pains
Healthcare visit (other): Regular doctor visit, but showed him the rash. He believes it is being caused by internal inflammation
Release 6 — day 14, dose 2
Symptoms: My rash other than injection site has increased in redness, itching, and raised bumps over legs, top of hands, and now spreading to upper chest and neck. Ice is the only relief. Occasional slight elevation of temperature to 99.1 and chills.
Healthcare visit (other): Office visit to Doctor
Release 7 — day 28, dose 2
Symptoms: My rash moved to my left leg and has been very itchy and raised red bumps. Ice has helped the most.
Release 8 — day 42, dose 2
Symptoms: My rash on my body has not gone away. I am taking supplements to reduce inflammation which helps some. Ice continues to be my best friend. Been to some regular follow up with doctors. I am not working. If I was I would be distracted.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): For 2 days following shot I had 101 fever, bad headaches, flu like symptoms. Had to stay in bed.
Release 11 — 3 months, dose 3
Symptoms: I was diagnosed to be allergic to cows milk, whey, and pineapple. I continue to suffer from hives/rash that are extremely itchy. Only relief is from cold gel peas compress. The hives/rash started with 1 shingrex shot and Covid vaccines.
Release 11 — 6 months, dose 3
Symptoms: My reaction to the shots giving me rash and hives continues. Only since I received shots I am now allergic to cows milk, whey and pineapple. Also, I have heart flutters on occasion. Scary stuff! I am scared to get second booster shot!
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 | Inflammation | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Rash | ✓ | ✓ | ✓ |
| SD | Cardiac flutter | · | · | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Food allergy | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Milk allergy | · | · | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Groin pain | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release