2T8-33247-43752
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 773 / TX
- Registered
- 2021-05-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-18
Registered in v-safe
-
2021-05-18
Dose 1 — Moderna
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-21
- 2021-05-24
- 2021-05-25
-
2021-06-01
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I doubt it is related but want to convey any issues. I have major knee pain in my left knee areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: FairFree text: Very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Dose 2 — Moderna
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2021-06-15
Survey response — day 0, dose 2MedDRA: Headache — Feeling: Fair · Fever · Chills, Headache, Joint painsFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-06-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-06-19
- 2021-06-20
-
2021-06-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-06-22
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend schoolAdult check-in
- 2021-06-29
- 2021-07-08
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2021-07-15
Survey response — day 28, dose 2MedDRA: Decreased appetite, Diarrhoea, Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Total liquid diarrhea. Symptoms started 1 week after last vaccine. Have changed from time to time since then but pretty bad at this time Nautious...poor appetite...tired..can't totally say it is the vaccine but it seems like it is.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-07-22
- 2021-07-27
- 2021-09-14
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2021-12-14
Survey response — 6 months, dose 2MedDRA: Reading disorder, Unevaluable event, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Spots in eye making it difficult to read things easily · Healthcare visit (other): Appt 12-27MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-15
Call successfulDoes not wish to fill out VAERS report
- 2022-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-18 | Moderna | |
| 2 | 2021-06-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 8 — day 14, dose 1
Symptoms: I doubt it is related but want to convey any issues. I have major knee pain in my left knee area
Release 8 — day 21, dose 1
Symptoms: Very tired
Release 9 — day 0, dose 2
Systemic reaction (other): Headache
Release 9 — day 28, dose 2
Symptoms: Total liquid diarrhea. Symptoms started 1 week after last vaccine. Have changed from time to time since then but pretty bad at this time Nautious...poor appetite...tired..can't totally say it is the vaccine but it seems like it is.
Release 10 — 6 months, dose 2
Symptoms: Spots in eye making it difficult to read things easily
Healthcare visit (other): Appt 12-27
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | · | ✓ |
| SD | Reading disorder | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release