3CB-47752-98275
3 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 776 / TX
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-05
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Loss of personal independence in daily activities — Feeling: Good · Headache, Fatigue or tirednessFree text: Arm sore to liftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessFree text: All of these symptoms were from yesterday afternoon into the early hours of this. My fever broke in the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-05-25
Survey response — 3 months, dose 2MedDRA: Arthralgia, Muscle strain — Feeling: Good · 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: Pulled muscle in lower back. After 4th day, I went to my NP for treatment. Issued prescriptions for muscle relaxer & anti inflammatory. Im fine now after medicine. Having sinus/allergy issues. This of year every year. Treating with Mucus medMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-26
Survey response — 6 months, dose 2MedDRA: Fatigue, Nasopharyngitis, Pre-existing disease — Feeling: FairFree text: More tired than usual, getting summer cold/allergiesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-23
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Brain fog, Fatigue, Memory impairment — Feeling: FairFree text: Memory Issues, like severe brain fog. Tire easily. Like I'm running in slow motion.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-24
-
2022-11-23
Survey response — 12 months, dose 3MedDRA: Brain fog, Fatigue, Memory impairment, Pain — Feeling: FairFree text: Brain fog , memory issues is, body soreness, tire easilyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): None
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Arm sore to lift
Systemic reaction (other): All of these symptoms were from yesterday afternoon into the early hours of this. My fever broke in the night.
Release 8 — 3 months, dose 2
Symptoms: Pulled muscle in lower back. After 4th day, I went to my NP for treatment. Issued prescriptions for muscle relaxer & anti inflammatory. Im fine now after medicine. Having sinus/allergy issues. This of year every year. Treating with Mucus med
Release 9 — 6 months, dose 2
Symptoms: More tired than usual, getting summer cold/allergies
Release 11 — 12 months, dose 2
Symptoms: Memory Issues, like severe brain fog. Tire easily. Like I'm running in slow motion.
Release 12 — 12 months, dose 3
Symptoms: Brain fog , memory issues is, body soreness, tire easily
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release