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52Q-31829-06687

5 vaccinations 9 coded responses 47 check-ins 9 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
786 / TX
Registered
2021-04-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
RQU-32096-53222 Child or adolescent in my care · Female · 2022-06-22

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-27
    Registered in v-safe
  3. 2021-04-27
    Dose 2 — Moderna
  4. 2021-04-27
    Survey response — day 0, dose 2
    MedDRA: Hypertension — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Head and neck feels like high blood pressure
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains
    Adult check-in
  7. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  8. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains
    Adult check-in
  9. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-23
    Survey response — day 21, dose 2
    MedDRA: Night sweats — Feeling: Fair
    Free text: Night sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-27
    Survey response — 3 months, dose 2
    MedDRA: Hot flush, Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: My menstrual cycle was completely thrown off. Short cycles to long cycles, cycles too close together and too far apart, and I had my first hot flash. To fix it, I had to start taking birth control pills.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-07-27
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-08-04
  15. 2021-08-05
    Call successful
    Participant prefers to complete VAERS report online
  16. 2021-10-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-02
    Dose 3 — Moderna
  18. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: This joint pain was even worse than the first 2 shots.
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  21. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Joint pains, Diarrhea
    Adult check-in
  22. 2021-11-09
    Health check-in — day 7, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  23. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-30
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  26. 2021-12-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-02-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-25
    Dose 4 — Moderna
  31. 2022-05-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Headache, Toothache, Vomiting — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Headache is so bad my teeth hurt. Vomiting isn't bad, just up to my throat.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-05-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  33. 2022-05-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Joint pains
    Adult check-in
  34. 2022-05-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Joint pains
    Adult check-in
  35. 2022-06-01
    Health check-in — day 7, dose 4
    Feeling: Fair · Joint pains
    Adult check-in
  36. 2022-06-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-15
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  38. 2022-06-22
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-07-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-08-24
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-18
    Dose 5 — Pfizer-BioNTech
  43. 2022-10-18
    Survey response — day 0, dose 5
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Free text: I get dizzy suddenly, but it comes and goes.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-10-20
    Survey response — days 1–6 daily, dose 5
    MedDRA: Endometriosis — Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Endometriosis pain
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-10-21
    Survey response — days 1–6 daily, dose 5
    MedDRA: Brain fog — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Not as much brain fog as the last 2 days.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  47. 2022-10-23
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  48. 2022-10-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  49. 2022-10-25
    Health check-in — day 7, dose 5
    Feeling: Good · Joint pains
    Adult check-in
  50. 2022-11-01
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  51. 2022-11-08
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  52. 2022-11-15
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  53. 2022-11-22
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  54. 2022-11-30
    Survey response — day 42, dose 5
    MedDRA: Arthritis, Condition aggravated, Dislocation of vertebra, Pre-existing disease — Feeling: Fair
    Free text: I have Ehlers-Danlos Syndrome and my sacrum is dislocating from my hips more frequently, as in several times a day. This summer, it started doing it on the left side, too. Inflammation makes my joints more "slippery."
    MedDRA releases: 2024-11 · check-in free text available
  55. 2023-01-17
    Health check-in — 3 months, dose 5
    Feeling: Fair
    Adult check-in
  56. 2023-04-21
    Health check-in — 6 months, dose 5
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-27Moderna
32021-11-02Moderna No
42022-05-25Moderna No
52022-10-18Pfizer-BioNTech No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 8 — day 0, dose 2

2021-04-27

Systemic reaction (other): Head and neck feels like high blood pressure

Release 8 — day 21, dose 2

2021-05-23

Symptoms: Night sweats

Release 9 — 3 months, dose 2

2021-07-27

Symptoms: My menstrual cycle was completely thrown off. Short cycles to long cycles, cycles too close together and too far apart, and I had my first hot flash. To fix it, I had to start taking birth control pills.

Release 10 — days 1–6 daily, dose 3

2021-11-04

Systemic reaction (other): This joint pain was even worse than the first 2 shots.

Release 11 — days 1–6 daily, dose 4

2022-05-28

Systemic reaction (other): Headache is so bad my teeth hurt. Vomiting isn't bad, just up to my throat.

Release 12 — day 0, dose 5

2022-10-18

Systemic reaction (other): I get dizzy suddenly, but it comes and goes.

Release 12 — days 1–6 daily, dose 5

2022-10-20

Systemic reaction (other): Endometriosis pain

2022-10-21

Systemic reaction (other): Not as much brain fog as the last 2 days.

Release 12 — day 42, dose 5

2022-11-30

Symptoms: I have Ehlers-Danlos Syndrome and my sacrum is dislocating from my hips more frequently, as in several times a day. This summer, it started doing it on the left side, too. Inflammation makes my joints more "slippery."

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
SDArthritis · · ✓
SDCondition aggravated · · ✓
SDDislocation of vertebra · · ✓
SDHot flush ✓ · ✓
SDMenstruation irregular ✓ · ✓
SDNight sweats ✓ ✓ ✓
SDPre-existing disease · · ✓
SROArthralgia · · ✓
SROBrain fog · · ✓
SRODizziness · · ✓
SROEndometriosis · · ✓
SROHeadache · · ✓
SROHypertension ✓ ✓ ✓
SROToothache · · ✓
SROVomiting · · ✓

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