4XG-15535-63246
4 vaccinations
13 coded responses
35 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 314 / GA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: SARS-CoV-2 antibody test positive — Feeling: Fair · Site: PainFree text: I can't remember if I shared this at the start. I tested positive for covid in December, we still have antibodies as of last saturday-not sure if tht corrolates with our first shot symptoms since both mr snd my husband have had the same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Survey response — day 0, dose 2MedDRA: Disturbance in attention — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Can't concentrateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Crying, Insomnia, Thirst — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Thirst, insomnea, crying for no reasonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lack of focus/ditsinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Thirst — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Insomnea, thristMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: ThirstyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: Good · Site: PainFree text: ThirstyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-27
-
2021-07-14
Survey response — 3 months, dose 2MedDRA: Anosmia, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: I had a sinus infection a couple of weeks ago eith some covid-like symptoms so I glut tested snd wss negative. It was interesting to see that I don't normally lose my sense of smell with a non-covid illness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-13
-
2021-11-13
Dose 3 — Moderna
-
2022-04-14
Survey response — 12 months, dose 2MedDRA: Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, sore thoatMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2022-10-21
Report sent to call center — days 1–6 daily, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
-
2022-10-24
Call successfulCompleted over the phone
-
2022-10-26
Survey response — days 1–6 daily, dose 4MedDRA: Epistaxis, Insomnia, Night sweats, Pruritus, Sensitive skin — Feeling: Fair · Fever · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Nose bleed. Night sweats for at least 4 nights now, followed by itching/sensitive skin-can't sleep!!!!MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-11-03
- 2022-11-11
- 2022-11-24
-
2022-12-01
Survey response — day 42, dose 4MedDRA: Adenomyosis, Headache, Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have learned that i have adenomyosis and migranes, and have a headache right now.MedDRA releases: 2024-11 · check-in free text available
-
2023-01-19
Survey response — 3 months, dose 4MedDRA: Adenomyosis, Endometriosis, Fibromyalgia, Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-19
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-20
Call successfulReported to VAERS during previous contact from GDIT
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-10-20 | Pfizer-BioNTech | Flu |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I can't remember if I shared this at the start. I tested positive for covid in December, we still have antibodies as of last saturday-not sure if tht corrolates with our first shot symptoms since both mr snd my husband have had the same.
Release 7 — day 0, dose 2
Systemic reaction (other): Can't concentrate
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Thirst, insomnea, crying for no reason
Systemic reaction (other): Lack of focus/ditsiness
Systemic reaction (other): Insomnea, thrist
Systemic reaction (other): Thirsty
Systemic reaction (other): Thirsty
Release 9 — 3 months, dose 2
Symptoms: I had a sinus infection a couple of weeks ago eith some covid-like symptoms so I glut tested snd wss negative. It was interesting to see that I don't normally lose my sense of smell with a non-covid illness.
Release 11 — 12 months, dose 2
Symptoms: Fever, sore thoat
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Brain fog
Systemic reaction (other): Nose bleed. Night sweats for at least 4 nights now, followed by itching/sensitive skin-can't sleep!!!!
Release 12 — day 42, dose 4
Symptoms: I have learned that i have adenomyosis and migranes, and have a headache right now.
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 | Adenomyosis | · | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Endometriosis | · | · | ✓ |
| SD | Fibromyalgia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Crying | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Epistaxis | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | SARS-CoV-2 antibody test positive | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release