4HH-23176-48422
3 vaccinations
9 coded responses
40 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 376 / TN
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Cold sweat, Dizziness, Immediate post-injection reaction — Feeling: Good · Site: Pain · Chills, NauseaFree text: 30 min after had dizziness and clammy but short livedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
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2021-03-09
Survey response — day 7, dose 1MedDRA: Arthralgia, Musculoskeletal pain, Neck pain, Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint pains · Be unable to work, 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: Systemic reaction (other): Pain in my left shoulder, neck, and back shoulder blade area on same side as injection · Healthcare visit (other): Going to see pcpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-01
Dose 2 — Moderna
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2021-04-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body achesAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Not sure if related but suddenly have developed lower right abdomen dull pain. Nurse thinks it could be failing appendix.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — day 21, dose 2MedDRA: Fatigue, Muscular weakness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The past week or so I have been more tired feeling the normal and have noticed a little bit of increased muscle weakness or fatigue sort of like I felt after having second shot. It's like it went away for a while and now has sort of resurfaced some.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still having increased fatigue and headaches since 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
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2021-05-13
Survey response — day 42, dose 2MedDRA: Headache, Muscle fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Seem to have more frequent headaches, and more body/muscle fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Arthritis, Inflammation, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Unexplained inflammation of hips and back, and joints in general. No arthritis indicators, drs still trying to find reason. · Healthcare visit (other): OrthopedicMedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-04-01
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2022-11-13
Dose 3 — Pfizer-BioNTech
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2022-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-27
- 2022-12-04
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2022-12-11
Survey response — day 28, dose 3MedDRA: Headache — Feeling: GoodFree text: Daily headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-12-18
- 2022-12-25
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2023-02-12
Survey response — 3 months, dose 3MedDRA: Dyspnoea, Palpitations, Respiration abnormal — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-02-12
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-14
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2023-02-14
Callback requested for06:00PM ET
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2023-02-14
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2022-11-13 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): 30 min after had dizziness and clammy but short lived
Release 5 — day 7, dose 1
Systemic reaction (other): Pain in my left shoulder, neck, and back shoulder blade area on same side as injection
Healthcare visit (other): Going to see pcp
Release 7 — day 14, dose 2
Symptoms: Not sure if related but suddenly have developed lower right abdomen dull pain. Nurse thinks it could be failing appendix.
Release 7 — day 21, dose 2
Symptoms: The past week or so I have been more tired feeling the normal and have noticed a little bit of increased muscle weakness or fatigue sort of like I felt after having second shot. It's like it went away for a while and now has sort of resurfaced some. cut off by CDC
Release 8 — day 28, dose 2
Symptoms: Still having increased fatigue and headaches since 2nd shot.
Release 8 — day 42, dose 2
Symptoms: Seem to have more frequent headaches, and more body/muscle fatigue.
Release 9 — 6 months, dose 2
Symptoms: Unexplained inflammation of hips and back, and joints in general. No arthritis indicators, drs still trying to find reason.
Healthcare visit (other): Orthopedic
Release 12 — day 28, dose 3
Symptoms: Daily headache
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 | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Muscle fatigue | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Respiration abnormal | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release