3WC-16296-57296
3 vaccinations
6 coded responses
34 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 785 / TX
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-15
- 2021-01-16
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-09-03
Dose 3 — Moderna
-
2021-09-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
- 2021-09-05
- 2021-09-06
- 2021-09-07
-
2021-09-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-09-09
Survey response — days 1–6 daily, dose 3MedDRA: Neuropathy peripheral, Pain in extremity — Feeling: Good · Muscle or body achesFree text: Leg pain neropathyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-10
Survey response — day 7, dose 3MedDRA: Neuropathy peripheral — Feeling: Good · Muscle or body achesFree text: Leg neropathyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Survey response — day 14, dose 3MedDRA: Dyspnoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Shortness of breath.Hours everyday.I got a covid test at Walgreens and that came back negative, thank goodness.I will go to a doctor soon .This struggle for air is all new to me.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Survey response — day 21, dose 3MedDRA: Dyspnoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Shortness of breathStarted after third shot..Had negative covid test result. Drs. doing more tests....why?MedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Survey response — day 28, dose 3MedDRA: Dyspnoea — 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: Shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-06
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-08
- 2021-10-15
-
2022-09-05
Survey response — 12 months, dose 3MedDRA: Dyspnoea, Unevaluable event — Feeling: Fair · 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: Symptoms: Shortness of breath....more and more from one year ago. Who reads this info? Please advise as to issues in my regard. Thanks. · Healthcare visit (other): Labs and lung tests.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-05
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-09-03 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Leg pain neropathy
Release 9 — day 7, dose 3
Systemic reaction (other): Leg neropathy
Release 9 — day 14, dose 3
Symptoms: Shortness of breath.Hours everyday.I got a covid test at Walgreens and that came back negative, thank goodness.I will go to a doctor soon .This struggle for air is all new to me.
Release 9 — day 21, dose 3
Symptoms: Shortness of breathStarted after third shot..Had negative covid test result. Drs. doing more tests....why?
Release 9 — day 28, dose 3
Symptoms: Shortness of breath
Release 12 — 12 months, dose 3
Symptoms: Shortness of breath....more and more from one year ago. Who reads this info? Please advise as to issues in my regard. Thanks.
Healthcare visit (other): Labs and lung tests.
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 | Dyspnoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Neuropathy peripheral | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release