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4FP-71197-58566

3 vaccinations 6 coded responses 39 check-ins 6 free-text entries 5 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
773 / TX
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-03-16
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site reaction, Injection site warmth, Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good
    Free text: 8 days after initial vaccine shot, my am got swollen and sore, and a red itchy patch developed at injection site. The area was very warm to the touch. Took Tylenol and benadryl. Went away after 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Hordeolum, Medical observation — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had a bad internal stye in left eye. Dr. gave me oral antibiotics (Sulfamethoxazol E-TMP DS) and antibiotic eye drops (NEO-POLY-DEX). Followup appt w/Dr. Nxt week. · Healthcare visit (other): Saw my Opthamologist in his office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-23
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-30
    Dose 2 — Moderna
  15. 2021-03-30
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  19. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  20. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  21. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-29
    Survey response — 3 months, dose 2
    MedDRA: Hordeolum, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Severe stye inside lower left eyelid. Treated with antibiotics and eye drops. · Healthcare visit (other): Regular visit with ophthalmologist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-06-29
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-07-01
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-09-28
    Survey response — 6 months, dose 2
    MedDRA: Allergy to arthropod sting, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Chronic styes. And I had a moderately severe reaction to a wasp sting - normally bee and wasp stings never affected me much.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-09-28
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  33. 2021-10-04
  34. 2021-10-27
    Dose 3 — Moderna
  35. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  36. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  37. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  38. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  39. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  40. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  41. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  42. 2021-11-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  43. 2021-11-17
    Survey response — day 21, dose 3
    MedDRA: Middle ear effusion, Nasopharyngitis, Office visit, Respiratory tract congestion, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I have either a cold or sinus infection. No fever. No body aches. Just head congestion and fluid in ears. Saw my doctor and was prescribed Zpack. · Healthcare visit (other): Went to my PCP
    MedDRA releases: 2024-11 · check-in free text available
  44. 2021-11-17
    Report sent to call center — day 21, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  45. 2021-11-18
  46. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  47. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  48. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  49. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  50. 2022-04-27
    Survey response — 6 months, dose 3
    MedDRA: Eye infection, Hordeolum, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Chronic eye infections and styes. · Healthcare visit (other): Opthamologist
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-04-27
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  52. 2022-04-28

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-10-27Moderna No

Call center

5 call center cases

2 successful · 3 unsuccessful

VAERS report filed, before or during a call: 1

See the call center timeline

Free text

Release 5 — day 14, dose 1

2021-03-16

Symptoms: 8 days after initial vaccine shot, my am got swollen and sore, and a red itchy patch developed at injection site. The area was very warm to the touch. Took Tylenol and benadryl. Went away after 2 days.

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Had a bad internal stye in left eye. Dr. gave me oral antibiotics (Sulfamethoxazol E-TMP DS) and antibiotic eye drops (NEO-POLY-DEX). Followup appt w/Dr. Nxt week.
Healthcare visit (other): Saw my Opthamologist in his office

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Severe stye inside lower left eyelid. Treated with antibiotics and eye drops.
Healthcare visit (other): Regular visit with ophthalmologist

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Chronic styes. And I had a moderately severe reaction to a wasp sting - normally bee and wasp stings never affected me much.

Release 10 — day 21, dose 3

2021-11-17

Symptoms: I have either a cold or sinus infection. No fever. No body aches. Just head congestion and fluid in ears. Saw my doctor and was prescribed Zpack.
Healthcare visit (other): Went to my PCP

Release 11 — 6 months, dose 3

2022-04-27

Symptoms: Chronic eye infections and styes.
Healthcare visit (other): Opthamologist

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

FieldPreferred term2021-092023-042024-11
HCVOMedical observation ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDAllergy to arthropod sting · · ✓
SDEye infection · · ✓
SDHordeolum ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMiddle ear effusion · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SDPain in extremity ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion · · ✓
SDSelf-medication ✓ ✓ ✓
SDSinusitis · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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