4NX-20528-88010
4 vaccinations
17 coded responses
50 check-ins
17 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 791 / TX
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
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2021-01-21
Survey response — day 21, dose 1MedDRA: Adrenal insufficiency, Chills — Feeling: GoodFree text: Chills, which may be associated with my adrenal insufficiencyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Dose 2 — Moderna
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2021-01-27
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Adrenal insufficiency, Back pain, Eye pain, Eyelid sensory disorder, Hypoaesthesia, Medical counselling, Neuralgia, Oropharyngeal pain, Pyrexia, Sensitive skin, Spinal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Nerve pain, eye pain, upper spine pain at back of neck, fever going up and down and skin sensitivity from fluctuations all day, sore throat, instances of numbness in left eye and cheek, lower back pain · Healthcare visit (other): Telephone call to nurse to see how to handle adrenal insufficiency and hydrocortisoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Medical counselling, Night sweats, Oropharyngeal pain, Pain, Pre-existing disease, Pyrexia, Sleep disorder — Feeling: Good · Site: PainFree text: I have adrenal insufficiency and fever went up late last night, as well as worsening sore throat. The doctors were no it sure about whether to increase hydrocortisone or use stress doses but recommended to increase hydrocortisone 5-10 mg. I felt like I was getting worse so I took extra 10 mg and also arythromycin. Aches and night sweats continued through the night but I am better today. This was a lot of challenge for adrenal insufficiency patient. Dosing recommendations from CDC would help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Spinal pain — Feeling: Good · Fatigue or tirednessFree text: Pain in upper spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain, Spinal pain — Feeling: GoodFree text: Pain in upper spine at back of neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 7, dose 2MedDRA: Back pain, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Pain in upper back of neck area and stiffnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
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2021-02-17
Survey response — day 21, dose 2MedDRA: Headache, Inflammation, Neck pain, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Inflammation in upper spine area, and it hurts to move my head and neck. I have a UCTD and HLA B27 gene, so this may be a contributing factor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-06-09
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2021-06-09
Call successfulCompleted over the phone
- 2021-07-28
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2021-08-18
Dose 3 — Moderna
- 2021-08-18
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2021-08-19
Survey response — days 1–6 daily, dose 3MedDRA: Neuralgia — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Nerve.pain, especially in my back and legs..MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-08-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-08-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
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2021-08-24
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Medical counselling, Pain in extremity, Paraesthesia — Feeling: Fair · Site: Pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain in left shoulder and arm. This is from the vaccine in that shoulder. I have tingling in fingers and deep pain down my arm. · Healthcare visit (other): Called nurse.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-25
Survey response — day 7, dose 3MedDRA: Inflammation, Neuritis, Pain in extremity — Feeling: Good · Site: PainFree text: Pain in left arm continues. Nerves and arm is inflamed from the shot still. Arm aches.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-01
- 2021-09-08
- 2021-09-15
- 2021-09-22
- 2021-09-29
-
2021-11-17
Survey response — 3 months, dose 3MedDRA: Abdominal pain, Cholecystectomy, Cholecystitis chronic, Cholelithiasis, Office visit, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I've had increasing chronic pain in mid-right abdomen so they removed my gallbladder two weeks ago, which shows a stone and chronic cholecystitis. Surgery went well and feel better now, almost normal. · Healthcare visit (other): Day surgery and in-person doctor visits.MedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-11-18
-
2021-11-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-01-18
Dose 4 — Moderna
- 2022-01-18
-
2022-01-19
Survey response — days 1–6 daily, dose 4MedDRA: Back pain, Neuralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Back and nerve painMedDRA releases: 2024-11 · check-in free text available
- 2022-01-20
- 2022-01-21
-
2022-01-22
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-01-23
- 2022-01-24
- 2022-01-25
-
2022-02-01
Survey response — day 14, dose 4MedDRA: Asthenia, Chills, Night sweats — Feeling: GoodFree text: I am having some night sweats, mild weakness and chills.MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Survey response — day 21, dose 4MedDRA: Pruritus — Feeling: FairFree text: Episodes of very itchy hands and feet, and sometimes all over, but mostly hands and feet. I'm not sure of the cause.MedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Survey response — day 28, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Fairly bad skin rashes and itchiness. My husband has had Covid over last 10 days but I haven't come down with Covid yet.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Survey response — day 35, dose 4MedDRA: Pruritus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Very itchy palms and feet, and all over at times.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-25
- 2022-03-03
- 2022-04-19
- 2022-07-21
- 2023-01-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-01-18 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 2 — day 21, dose 1
Symptoms: Chills, which may be associated with my adrenal insufficiency
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Nerve pain, eye pain, upper spine pain at back of neck, fever going up and down and skin sensitivity from fluctuations all day, sore throat, instances of numbness in left eye and cheek, lower back pain
Healthcare visit (other): Telephone call to nurse to see how to handle adrenal insufficiency and hydrocortisone
Systemic reaction (other): I have adrenal insufficiency and fever went up late last night, as well as worsening sore throat. The doctors were no it sure about whether to increase hydrocortisone or use stress doses but recommended to increase hydrocortisone 5-10 mg. I felt like I was getting worse so I took extra 10 mg and also arythromycin. Aches and night sweats continued through the night but I am better today. This was a lot of challenge for adrenal insufficiency patient. Dosing recommendations from CDC would help.
Systemic reaction (other): Pain in upper spine
Systemic reaction (other): Pain in upper spine at back of neck
Release 3 — day 7, dose 2
Systemic reaction (other): Pain in upper back of neck area and stiffness
Release 4 — day 21, dose 2
Symptoms: Inflammation in upper spine area, and it hurts to move my head and neck. I have a UCTD and HLA B27 gene, so this may be a contributing factor.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Nerve.pain, especially in my back and legs..
Systemic reaction (other): Pain in left shoulder and arm. This is from the vaccine in that shoulder. I have tingling in fingers and deep pain down my arm.
Healthcare visit (other): Called nurse.
Release 9 — day 7, dose 3
Systemic reaction (other): Pain in left arm continues. Nerves and arm is inflamed from the shot still. Arm aches.
Release 10 — 3 months, dose 3
Symptoms: I've had increasing chronic pain in mid-right abdomen so they removed my gallbladder two weeks ago, which shows a stone and chronic cholecystitis. Surgery went well and feel better now, almost normal.
Healthcare visit (other): Day surgery and in-person doctor visits.
Release 10 — days 1–6 daily, dose 4
Systemic reaction (other): Back and nerve pain
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Sore throat
Release 11 — day 14, dose 4
Symptoms: I am having some night sweats, mild weakness and chills.
Release 11 — day 21, dose 4
Symptoms: Episodes of very itchy hands and feet, and sometimes all over, but mostly hands and feet. I'm not sure of the cause.
Release 11 — day 28, dose 4
Symptoms: Fairly bad skin rashes and itchiness. My husband has had Covid over last 10 days but I haven't come down with Covid yet.
Release 11 — day 35, dose 4
Symptoms: Very itchy palms and feet, and all over at times.
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 | Adrenal insufficiency | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Adrenal insufficiency | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cholecystectomy | · | · | ✓ |
| SD | Cholecystitis chronic | · | · | ✓ |
| SD | Cholelithiasis | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Arthralgia | ✓ | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Eyelid sensory disorder | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Inflammation | ✓ | · | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Neuritis | ✓ | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Spinal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release