3GJ-19923-91490
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 756 / TX
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 21, dose 1MedDRA: Peripheral swelling — Feeling: GoodFree text: My arm has a swelling in it. Not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-16
Dose 2 — Moderna
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Muscle spasmsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Cough — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I have had issues that Have affected me for about six weeks. I have gone to an ENT to tell me he has seen several of these on people that have had the Covid vaccine. I have also been referred to a pulmonologist due to coughing issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
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 pr1 call case(s)
-
2021-07-08
Call successfulCompleted over the phone
-
2021-09-14
Survey response — 6 months, dose 2MedDRA: Malaise, Office visit, Pharyngeal operation — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: I have been sick for going on for months and under a doctors care. Ive had throat surgery. I would not encourage anybody to take this vaccineMedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — 6 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 pr1 call case(s)
- 2021-09-16
-
2022-03-18
Survey response — 12 months, dose 2MedDRA: Muscle disorder — Feeling: Poor · Be unable to work or attend schoolFree text: Muscle issues in armMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-16 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 5 — day 21, dose 1
Symptoms: My arm has a swelling in it. Not painful
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle spasms
Release 9 — 3 months, dose 2
Symptoms: I have had issues that Have affected me for about six weeks. I have gone to an ENT to tell me he has seen several of these on people that have had the Covid vaccine. I have also been referred to a pulmonologist due to coughing issues
Release 9 — 6 months, dose 2
Symptoms: I have been sick for going on for months and under a doctors care. Ive had throat surgery. I would not encourage anybody to take this vaccine
Release 11 — 12 months, dose 2
Symptoms: Muscle issues in arm
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 | Cough | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pharyngeal operation | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release