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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

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Survey response — day 0, dose 1
    MedDRA: Irritability, Skin irritation — Feeling: Good
    Free 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
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Shot site was on left arm. Shot site is sore and the two fingers still feels irritated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  6. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-17
    Dose 2 — Moderna
  11. 2021-04-17
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Nausea
    Adult check-in
  15. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-16
    Survey response — 6 months, dose 2
    MedDRA: 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 consultation
    Free 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 chills
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-10-16
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  22. 2021-10-22
    Call successful
    Does not wish to fill out VAERS report
  23. 2022-04-17
    Survey response — 12 months, dose 2
    MedDRA: Amyotrophic lateral sclerosis, Unevaluable event — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I am diagnosed with ALS · Healthcare visit (other): Busy to neurologist
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-17
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2022-04-19

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): Irritation between two fingers. On the same arm that the shot was on.

Release 6 — days 1–6 daily, dose 1

2021-03-21

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

2021-10-16

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

2022-04-17

Symptoms: I am diagnosed with ALS
Healthcare visit (other): Busy to neurologist

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
HCVOUnevaluable event · · ✓
SDAgeusia · · ✓
SDAmyotrophic lateral sclerosis · · ✓
SDAphonia · · ✓
SDAsthenia · · ✓
SDChills · · ✓
SDPre-existing disease · · ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SROInjection site pain ✓ ✓ ✓
SROIrritability ✓ ✓ ○
SROSkin irritation · · ✓

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