49X-35862-07895
4 vaccinations
7 coded responses
35 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Nausea, Night sweats — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: Possible fever at night. Awoke in pool of sweat. Temp normal. Pretty sure nausea is from the headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Flushing, Headache, Pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Very weird headache - left side of head, face, and brain felt like they were on fire and throbbing for several hours last night; face was very flushed much of the evening too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-31
- 2021-02-07
-
2021-02-10
Dose 2 — Moderna
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Headache, Myalgia, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: This system is not set up for real time vaccination outside the exact 28 day recommendation. My second shot was 4 days early. Strong reaction starting the morning after my shot and lasting 24 hours: freezing cold, severe muscle aches, mind headache, fever +2 to +2.8 degrees for 18 hours then it came down slowly over the next 6 hours. I felt like a truck hit me the morning after the vaccine; I was 100% better 24 hours later.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-24
-
2021-03-03
Survey response — day 21, dose 2MedDRA: Chills, Joint injury — Feeling: GoodFree text: 1) Really odd issue with my right ankle buckling or maybe it's a nerve misfiring. Happens going down stairs. Not every time, but often. Right ankle. Feels like it's something with a tendon.2) Very cold in evenings frequently. Like chills with vaxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-08-20
Dose 3 — Moderna
- 2021-11-19
- 2022-02-18
-
2022-02-22
Dose 4 — Moderna
-
2022-02-24
Survey response — days 1–6 daily, dose 4MedDRA: Dry mouth, Grip strength decreased — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Loss of grip strength (better today than yesterday), cotton mouth despite being well hydrated (started evening of shot, lasted about 24 hours. Weird)MedDRA releases: 2024-11 · check-in free text available
-
2022-02-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, NauseaAdult check-in
- 2022-02-26
-
2022-02-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2022-02-28
- 2022-03-01
- 2022-03-08
- 2022-03-15
- 2022-03-24
- 2022-03-29
- 2022-04-05
-
2022-05-24
Survey response — 3 months, dose 4MedDRA: Blepharitis — Feeling: GoodFree text: Eyelid inflammation likely NOT due to vaccination.MedDRA releases: 2024-11 · check-in free text available
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2022-08-23
Survey response — 6 months, dose 4MedDRA: Blepharitis, Eyelid bleeding, Skin fissures — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bleferitis (both eyes) and cracked eyelid (crack is inflamed and bleeds) controlled by topicak steroid-antibiotic ointment.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-23
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-08-24
-
2022-09-08
Call successfulParticipant prefers to complete VAERS report online
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-08-20 | Moderna | No |
| 4 | 2022-02-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Possible fever at night. Awoke in pool of sweat. Temp normal. Pretty sure nausea is from the headache.
Systemic reaction (other): Very weird headache - left side of head, face, and brain felt like they were on fire and throbbing for several hours last night; face was very flushed much of the evening too.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): This system is not set up for real time vaccination outside the exact 28 day recommendation. My second shot was 4 days early. Strong reaction starting the morning after my shot and lasting 24 hours: freezing cold, severe muscle aches, mind headache, fever +2 to +2.8 degrees for 18 hours then it came down slowly over the next 6 hours. I felt like a truck hit me the morning after the vaccine; I was 100% better 24 hours later.
Release 5 — day 21, dose 2
Symptoms: 1) Really odd issue with my right ankle buckling or maybe it's a nerve misfiring. Happens going down stairs. Not every time, but often. Right ankle. Feels like it's something with a tendon.2) Very cold in evenings frequently. Like chills with vax
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Loss of grip strength (better today than yesterday), cotton mouth despite being well hydrated (started evening of shot, lasted about 24 hours. Weird)
Release 11 — 3 months, dose 4
Symptoms: Eyelid inflammation likely NOT due to vaccination.
Release 12 — 6 months, dose 4
Symptoms: Bleferitis (both eyes) and cracked eyelid (crack is inflamed and bleeds) controlled by topicak steroid-antibiotic ointment.
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 | Blepharitis | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Eyelid bleeding | · | · | ✓ |
| SD | Joint injury | ✓ | ✓ | ✓ |
| SD | Skin fissures | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Grip strength decreased | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release