48E-76784-08662
5 vaccinations
8 coded responses
59 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 035 / NH
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-16
Registered in v-safe
-
2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
-
2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia — Feeling: Good · Muscle or body achesFree text: Pain in shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Neuralgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have a very painful neuralgia that runs up the right side of my head behind my ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-13
Survey response — day 28, dose 1MedDRA: Injection site pain, Medical observation — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: The area of the injection is still sore to the point where I dont think I should get the 2nd dose in that arm. I would like to request a smaller needle. I am a female under 130 lbs. · Healthcare visit (other): Contact clinic administratorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Trigeminal neuralgia — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Trigeminal neuralgiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-02
- 2021-05-19
- 2021-07-30
-
2021-07-30
Call successfulCompleted over the phone
- 2021-08-19
-
2021-11-10
Dose 3 — ModernaCo-administered: Flu
- 2021-11-10
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Night sweats — Feeling: Good · Site: PainFree text: Night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
-
2022-04-25
Dose 4 — Pfizer-BioNTech
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Racing heartbeatMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-09-19
Dose 5 — Pfizer-BioNTechCo-administered: Flu
-
2022-09-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-21
- 2022-09-22
-
2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Neuralgia — Feeling: FairFree text: Neuralgia, left side, behnd earMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
- 2022-09-26
-
2022-10-03
Survey response — day 14, dose 5MedDRA: Neuralgia, Oral herpes — Feeling: GoodFree text: After I had the nerve pain, I developed cold sores (herpes simplex?) on my lower lip.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-10 | Moderna | Flu |
| 4 | 2022-04-25 | Pfizer-BioNTech | No |
| 5 | 2022-09-19 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Pain in shoulder
Release 3 — day 14, dose 1
Symptoms: I have a very painful neuralgia that runs up the right side of my head behind my ear.
Release 4 — day 28, dose 1
Symptoms: The area of the injection is still sore to the point where I dont think I should get the 2nd dose in that arm. I would like to request a smaller needle. I am a female under 130 lbs.
Healthcare visit (other): Contact clinic administrator
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Trigeminal neuralgia
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Night sweats
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Racing heartbeat
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Neuralgia, left side, behnd ear
Release 12 — day 14, dose 5
Symptoms: After I had the nerve pain, I developed cold sores (herpes simplex?) on my lower lip.
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 | Medical observation | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Trigeminal neuralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release