3ZB-71798-54187
5 vaccinations
6 coded responses
42 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 761 / TX
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Chills, Tremor — Feeling: GoodFree text: Brief shaking, like a chill, but I was not cold. Very brief, a few minutes. Actually was Monday night after v-safe check in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Survey response — day 28, dose 2MedDRA: Limb injury — Feeling: FairFree text: Unrelated. Hurt my foot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 35, dose 2MedDRA: Infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Infection that requires oral antibiotics. Probably a cut that went bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-09
- 2021-04-27
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Neck mass, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lump on back of neck · Healthcare visit (other): In person visit; further tests scheduledMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
-
2021-07-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2021-09-26
Dose 3 — Moderna
- 2021-10-24
- 2021-10-31
- 2021-11-07
- 2021-12-26
-
2022-03-28
Survey response — 6 months, dose 3MedDRA: Hypertension, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: High blood pressure · Healthcare visit (other): Doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-03-28
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-30
-
2022-07-08
Dose 4 — Moderna
-
2022-07-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2022-07-10
-
2022-07-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2022-07-12
- 2022-07-13
- 2022-07-14
- 2022-07-15
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2022-07-22
Survey response — day 14, dose 4MedDRA: Breast swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swelling on left breast, same side as Covid Moderna vax, started about 8 days after vax.MedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-26
Call successfulDoes not wish to fill out VAERS report
- 2022-07-29
- 2022-08-05
- 2022-08-12
- 2022-08-19
-
2022-09-09
Dose 5 — Moderna
- 2022-09-25
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-09-26 | Moderna | No |
| 4 | 2022-07-08 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Brief shaking, like a chill, but I was not cold. Very brief, a few minutes. Actually was Monday night after v-safe check in.
Release 4 — day 28, dose 2
Symptoms: Unrelated. Hurt my foot.
Release 4 — day 35, dose 2
Symptoms: Infection that requires oral antibiotics. Probably a cut that went bad.
Release 9 — 6 months, dose 2
Symptoms: Lump on back of neck
Healthcare visit (other): In person visit; further tests scheduled
Release 11 — 6 months, dose 3
Release 12 — day 14, dose 4
Symptoms: Swelling on left breast, same side as Covid Moderna vax, started about 8 days after vax.
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 | Office visit | ✓ | · | ✓ |
| SD | Breast swelling | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Infection | ✓ | ✓ | ✓ |
| SD | Limb injury | ✓ | ✓ | ✓ |
| SD | Neck mass | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release