3NY-18923-56808
4 vaccinations
5 coded responses
44 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Dose 2 — Moderna
-
2021-03-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 2MedDRA: Abdominal discomfort, Colitis, Diarrhoea, Malaise, Pre-existing disease, Vomiting — Feeling: GoodFree text: Major diarrhea and vomiting for one night. My stomach was a bit upset for 2 days prior and then I was really sick in the evening. This may not be related to my shot bc I have collagenous colitis. It actually felt more like food poisoning but not sureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
-
2021-06-10
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Have a rash on back but not sure why.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-09
Survey response — 6 months, dose 2MedDRA: Kidney infection, Urinary tract infection — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Developed several UTIs and a kidney infection.MedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Dose 3 — Moderna
- 2021-10-27
- 2021-12-11
- 2022-03-12
- 2022-09-11
-
2022-10-01
Dose 4 — Moderna
- 2022-10-01
-
2022-10-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
-
2022-10-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2022-10-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-06
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2022-10-08
Health check-in — day 7, dose 4Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-10-15
Survey response — day 14, dose 4MedDRA: Sciatica — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have started having sciatic problems with my back and leg. I don't think it has anything to do with my Covid vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
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2023-04-01
Survey response — 6 months, dose 4MedDRA: Ageusia, Anosmia, Dyspnoea, Fatigue, SARS-CoV-2 test positive, Upper limb fracture — Feeling: Good · 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 visitMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-03
-
2023-04-04
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-09-11 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — day 14, dose 2
Symptoms: Major diarrhea and vomiting for one night. My stomach was a bit upset for 2 days prior and then I was really sick in the evening. This may not be related to my shot bc I have collagenous colitis. It actually felt more like food poisoning but not sure cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: Have a rash on back but not sure why.
Release 9 — 6 months, dose 2
Symptoms: Developed several UTIs and a kidney infection.
Release 12 — day 14, dose 4
Symptoms: I have started having sciatic problems with my back and leg. I don't think it has anything to do with my Covid vaccine.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Colitis | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Upper limb fracture | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release