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534-23344-67864

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
327 / FL
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-03-25
    Registered in v-safe
  3. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  5. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Survey response — day 14, dose 1
    MedDRA: Discharge, Infection, Pre-existing disease, Radiculitis brachial, Sinusitis — Feeling: Good
    Free text: I was born with a brachial cleft abnormality hole in my neck. It hasn't drained for a while until this week and it has an infection because it's green. This usually happens if I have a sinus infection but I haven't had anything but shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-20
    Dose 2 — Moderna
  11. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-11
    Survey response — day 21, dose 2
    MedDRA: Brain fog, Disturbance in attention — Feeling: Fair
    Free text: Brain fog, loss of concentration, but trying to push through it, so I will check none of the above for now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-03
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Good
    Free text: Joints, muscles ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-20
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: All joints hurt. Don't know why.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-19
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Cataract, Office visit, Urinary tract infection, Visual impairment — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: 2 UTIs. Joints still ache. Sudden Diminished sight Cataracts since vaccinations, confirmed 10-18-21 · Healthcare visit (other): Dr ofc visit
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-10-19
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-10-22
  19. 2021-11-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 1

2021-04-06

Symptoms: I was born with a brachial cleft abnormality hole in my neck. It hasn't drained for a while until this week and it has an infection because it's green. This usually happens if I have a sinus infection but I haven't had anything but shot.

Release 8 — day 21, dose 2

2021-05-11

Symptoms: Brain fog, loss of concentration, but trying to push through it, so I will check none of the above for now

Release 8 — day 42, dose 2

2021-06-03

Symptoms: Joints, muscles ache

Release 9 — 3 months, dose 2

2021-07-20

Symptoms: All joints hurt. Don't know why.

Release 10 — 6 months, dose 2

2021-10-19

Symptoms: 2 UTIs. Joints still ache. Sudden Diminished sight Cataracts since vaccinations, confirmed 10-18-21
Healthcare visit (other): Dr ofc visit

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
HCVOOffice visit · · ✓
SDArthralgia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDCataract · · ✓
SDDischarge ✓ · ✓
SDDisturbance in attention ✓ ✓ ✓
SDInfection ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDRadiculitis brachial ○ ✓ ○
SDSinusitis ○ ✓ ○
SDUrinary tract infection · · ✓
SDVisual impairment · · ✓

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