4B6-18387-14414
4 vaccinations
9 coded responses
35 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Arthritis, Headache, Pyrexia, Rhinalgia, Sneezing — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I have arthritis and hay fever and most of the symptoms can be explained by those conditions but my headache is strange and centered in my nose like i have never had before. And EVERYONE of my joints hurt. I an also snezzingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease, Sinus headache — Feeling: Good · HeadacheFree text: The weird nose heaache is gone though. Just regular hayfever headach nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-02
- 2021-04-11
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-22
-
2021-04-25
Health check-in — day 7, dose 2Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Feeling hot, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: My skin feel like its on fire...i took my temp on a thermometer that is my normal is ussually 87.6 and it says my temp is around 100.6 · Healthcare visit (other): I just sent a email to doctor on the portalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-09
- 2021-05-17
- 2021-05-23
- 2021-05-29
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2021-07-16
Survey response — 3 months, dose 2MedDRA: Hospitalisation, Thrombosis, Ultrasound scan abnormal — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Blood clot in leg...went to hospital and had an ultrasound to diagnois itMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-16
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-25
-
2021-08-16
Dose 3 — Moderna
- 2021-10-17
- 2021-11-15
- 2022-02-15
-
2022-07-09
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
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2022-07-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-13
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2022-07-14
Survey response — days 1–6 daily, dose 4MedDRA: Ankylosing spondylitis, Immediate post-injection reaction, Pre-existing disease — Feeling: Poor · Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have ankylosing s3but it has been well controlled for almost two years but immediately after this shot im going through a flareMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-15
-
2022-07-15
Callback requested for03:15PM ET
-
2022-07-15
Call successfulCompleted over the phone
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2022-07-15
Call successfulCompleted over the phone
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2022-07-15
Call successfulCompleted over the phone
- 2022-07-16
- 2022-07-23
- 2022-07-30
- 2022-08-07
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2022-08-13
Survey response — day 35, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: The flar in my ankylosing spondylitis that i already reported got alittle better but is continuing to be a problem with my joints in my hips , knees and fingers and toes getting worse even after my cymbalta infusion....i also have rheumatoid arthritiMedDRA releases: 2024-11 · check-in free text available
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2022-08-22
Survey response — day 42, dose 4MedDRA: Arthralgia, Arthritis, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I have become to realize the flare in my arthritises that i have already reported is still going on and my joints are getting worseMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
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2023-01-07
Survey response — 6 months, dose 4MedDRA: Pharyngitis streptococcal — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-07
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-01-09
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-07-09 | Pfizer-BioNTech | Shingles |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I have arthritis and hay fever and most of the symptoms can be explained by those conditions but my headache is strange and centered in my nose like i have never had before. And EVERYONE of my joints hurt. I an also snezzing
Systemic reaction (other): The weird nose heaache is gone though. Just regular hayfever headach now
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Chest tightness
Release 8 — day 14, dose 2
Symptoms: My skin feel like its on fire...i took my temp on a thermometer that is my normal is ussually 87.6 and it says my temp is around 100.6
Healthcare visit (other): I just sent a email to doctor on the portal
Release 9 — 3 months, dose 2
Symptoms: Blood clot in leg...went to hospital and had an ultrasound to diagnois it
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I have ankylosing s3but it has been well controlled for almost two years but immediately after this shot im going through a flare
Release 12 — day 35, dose 4
Symptoms: The flar in my ankylosing spondylitis that i already reported got alittle better but is continuing to be a problem with my joints in my hips , knees and fingers and toes getting worse even after my cymbalta infusion....i also have rheumatoid arthriti cut off by CDC
Release 12 — day 42, dose 4
Symptoms: I have become to realize the flare in my arthritises that i have already reported is still going on and my joints are getting worse
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 counselling | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Thrombosis | ✓ | · | ✓ |
| SD | Ultrasound scan abnormal | ✓ | · | ✓ |
| SRO | Ankylosing spondylitis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinalgia | ✓ | ✓ | ✓ |
| SRO | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release