3M8-20235-67048
6 vaccinations
11 coded responses
59 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
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2021-02-10
Registered in v-safe
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Swollen glands under both arms and upper arm and shoulder pain (not at injection site)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-08-14
Dose 3 — Moderna
- 2021-08-14
-
2021-08-15
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Lymphadenopathy — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen gland under my arms, brain fogMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-16
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Lymph node pain, Pain in extremity — Feeling: Fair · Site: Pain · Chills, HeadacheFree text: Arm/shoulder pain, sore glands under armsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: Fair · Chills, Headache, Rash, not including the immediate area around the injection siteFree text: Sore glands under armsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Survey response — days 1–6 daily, dose 3MedDRA: Nightmare, Vaccine positive rechallenge — Feeling: Fair · Headache, Rash, not including the immediate area around the injection siteFree text: Woke in the middle of the night to nightmares last two nights. Had this after 2nd dose also.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-19
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2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-08-21
- 2021-08-28
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-11-13
-
2022-01-25
Dose 4 — Moderna
- 2022-02-12
-
2022-07-06
Dose 5 — Moderna
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2022-07-06
Survey response — day 0, dose 5MedDRA: Pre-existing disease — Feeling: GoodFree text: Had Evusheld preventative for immunocompromised on 04/09/2022MedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Survey response — days 1–6 daily, dose 5MedDRA: Lymph node pain — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness, NauseaFree text: Sore glands under arms, ears and throatMedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
-
2022-07-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-07-10
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-07-11
-
2022-07-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-13
- 2022-07-20
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
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2022-10-05
Survey response — 3 months, dose 5MedDRA: Balance disorder, Emergency care, Gait disturbance, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Balance and gait issues when walking. ER evaluation and flow ups with neurologist and PCP.MedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-10-06
Call successfulParticipant prefers to complete VAERS report online
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2022-11-11
Dose 6 — Moderna
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2022-11-11
Health check-in — day 0, dose 6Feeling: Good · Chills, Headache, Fatigue or tirednessAdult check-in
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2022-11-12
Survey response — days 1–6 daily, dose 6MedDRA: Throat irritation — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Scratchy throatMedDRA releases: 2024-11 · check-in free text available
- 2022-11-13
-
2022-11-14
Survey response — days 1–6 daily, dose 6MedDRA: Rash, Rash erythematous — Feeling: Good · Fatigue or tirednessFree text: Flat red rash on trunk for 24 hours. Now gone.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-08-14 | Moderna | No |
| 4 | 2022-01-25 | Moderna | No |
| 5 | 2022-07-06 | Moderna | No |
| 6 | 2022-11-11 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): Swollen glands under both arms and upper arm and shoulder pain (not at injection site)
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen gland under my arms, brain fog
Systemic reaction (other): Arm/shoulder pain, sore glands under arms
Systemic reaction (other): Sore glands under arms
Systemic reaction (other): Woke in the middle of the night to nightmares last two nights. Had this after 2nd dose also.
Release 12 — day 0, dose 5
Systemic reaction (other): Had Evusheld preventative for immunocompromised on 04/09/2022
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sore glands under arms, ears and throat
Release 12 — 3 months, dose 5
Symptoms: Balance and gait issues when walking. ER evaluation and flow ups with neurologist and PCP.
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Scratchy throat
Systemic reaction (other): Flat red rash on trunk for 24 hours. Now gone.
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 | Balance disorder | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release