4R7-44144-26761
4 vaccinations
5 coded responses
50 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 773 / TX
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
- 2021-01-27
-
2021-01-29
Dose 2 — Moderna
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Fatigue, Headache, Injection site discomfort, Injection site pruritus, Myalgia, Pain, Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: My 2nd shot was 5 days ago. Twelve hours after the shot I had chills, headache, joint pain, muscle & body aches, and fatigue. These all last about 30 hours. The rash appeared after that, about 80 hours later. Highly localized to a stripe along my waist on my Right side. It has mild stinging & itching but no deep pain or ache at that site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Herpes zoster — Feeling: Good · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Today I was diagnosed by my PCP with mild shingles, which came on a few days after my second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-05
Survey response — day 7, dose 2MedDRA: Herpes zoster, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Same rash as before; diagnosed as shingles on my Right sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-06-30
-
2021-07-06
Call successfulCompleted over the phone
- 2021-08-01
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-10-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-19
-
2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-21
- 2022-10-22
- 2022-10-23
- 2022-10-25
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
-
2022-11-23
Survey response — day 35, dose 4MedDRA: Nasal congestion, Productive cough, Upper respiratory tract infection — Feeling: FairFree text: Upper respiratory infection productive cough, some nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Survey response — day 42, dose 4MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2023-01-18
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-10-19 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): My 2nd shot was 5 days ago. Twelve hours after the shot I had chills, headache, joint pain, muscle & body aches, and fatigue. These all last about 30 hours. The rash appeared after that, about 80 hours later. Highly localized to a stripe along my waist on my Right side. It has mild stinging & itching but no deep pain or ache at that site.
Systemic reaction (other): Today I was diagnosed by my PCP with mild shingles, which came on a few days after my second shot.
Release 3 — day 7, dose 2
Systemic reaction (other): Same rash as before; diagnosed as shingles on my Right side
Release 12 — day 35, dose 4
Symptoms: Upper respiratory infection productive cough, some nasal congestion
Release 12 — day 42, dose 4
Symptoms: Cough
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Herpes zoster | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release