4MQ-20045-99725
2 vaccinations
4 coded responses
18 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 773 / TX
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
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2021-03-20
Survey response — day 0, dose 1MedDRA: Irritability, Skin irritation — Feeling: GoodFree text: Irritation between two fingers. On the same arm that the shot was on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Shot site was on left arm. Shot site is sore and the two fingers still feels irritatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-03-25
- 2021-03-27
- 2021-04-05
- 2021-04-11
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2021-04-17
Dose 2 — Moderna
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2021-04-17
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-21
- 2021-04-22
- 2021-04-26
- 2021-05-05
- 2021-05-12
- 2021-05-17
- 2021-05-24
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2021-10-16
Survey response — 6 months, dose 2MedDRA: Ageusia, Aphonia, Asthenia, Chills, Pre-existing disease, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am losing my voice for no reason. I have met another lady that has experience this to after having COVID 19. I had COVID 19 in Jan 2020. But went to test it said negative but i lost taste , low grade fever , weak with chillsMedDRA releases: 2024-11 · check-in free text available
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2021-10-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-22
Call successfulDoes not wish to fill out VAERS report
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2022-04-17
Survey response — 12 months, dose 2MedDRA: Amyotrophic lateral sclerosis, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: I am diagnosed with ALS · Healthcare visit (other): Busy to neurologistMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Irritation between two fingers. On the same arm that the shot was on.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Shot site was on left arm. Shot site is sore and the two fingers still feels irritated
Release 10 — 6 months, dose 2
Symptoms: I am losing my voice for no reason. I have met another lady that has experience this to after having COVID 19. I had COVID 19 in Jan 2020. But went to test it said negative but i lost taste , low grade fever , weak with chills
Release 11 — 12 months, dose 2
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 | Unevaluable event | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Amyotrophic lateral sclerosis | · | · | ✓ |
| SD | Aphonia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Irritability | ✓ | ✓ | ○ |
| SRO | Skin irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release