548-25886-26629
4 vaccinations
18 coded responses
52 check-ins
18 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
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2021-02-08
Dose 1 — Moderna
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Muscle or body achesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-11
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite — Feeling: Fair · Muscle or body aches, NauseaFree text: no appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
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2021-03-08
Dose 2 — Moderna
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2021-03-08
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain in jaw — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: up the jawline to the backs of ears hurts, on both sides. This is new.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: Fair · Muscle or body achesFree text: tinnitus in one earMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
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2021-04-05
Survey response — day 28, dose 2MedDRA: Impaired healing, Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: lupus acting up · Healthcare visit (other): DoctorsofficeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-12
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2021-04-19
Survey response — day 42, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Musculoskeletal, knee & backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Report sent to call center — day 42, 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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2021-06-07
Survey response — 3 months, dose 2MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lupus is activated, ankles & wrists affectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-07
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2021-09-06
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2021-10-26
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
- 2021-10-31
- 2021-11-01
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2021-11-02
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · Joint painsFree text: Could be a lupus episodeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
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2021-11-16
Survey response — day 21, dose 3MedDRA: Headache — Feeling: GoodFree text: daily headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
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2021-12-07
Survey response — day 42, dose 3MedDRA: Cardiovascular symptom, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Thought heart attack but hospital echo & stress test ruled that out, maybe GIMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Arthralgia, Asthma, Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Aching knees ecsma asthmaMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-27
Dose 4 — Moderna
- 2022-04-27
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2022-04-27
Call successfulDoes not wish to fill out VAERS report
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog, Insomnia, Mobility decreased — Feeling: Poor · Site: Swelling · Headache, Abdominal pain · Be unable to do your normal daily activitiesFree text: inability to sleep, brain fog- could neither read nor watch TVMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Brain fog — Feeling: Fair · Site: Swelling · HeadacheFree text: kind of a brain fog, stillMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
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2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Muscle or body achesAdult check-in
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2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Fever · Headache, Muscle or body achesFree text: usually my temp is 97.4 or 97.5MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
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2022-05-11
Survey response — day 14, dose 4MedDRA: Pain in extremity, Pre-existing disease, Systemic lupus erythematosus — Feeling: GoodFree text: lupus is activated, hurting right wrist. right forearm aches, (not a lupus symptom)MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — day 21, dose 4MedDRA: Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lupus has kicked up around wrist, finger, anklesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
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2022-06-01
Survey response — day 35, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain, knee in particularMedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 42, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: joint painMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — 6 months, dose 4MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: after flu vaccine 10/7, tingling numbness right foot, then a week later left foot, right thighMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
Call center
5 call center cases
1 successful · 4 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): no appetite
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): up the jawline to the backs of ears hurts, on both sides. This is new.
Systemic reaction (other): tinnitus in one ear
Release 6 — day 28, dose 2
Release 7 — day 42, dose 2
Symptoms: Musculoskeletal, knee & back
Release 8 — 3 months, dose 2
Symptoms: Lupus is activated, ankles & wrists affected
Release 10 — day 7, dose 3
Systemic reaction (other): Could be a lupus episode
Release 10 — day 21, dose 3
Symptoms: daily headache
Release 10 — day 42, dose 3
Symptoms: Thought heart attack but hospital echo & stress test ruled that out, maybe GI
Release 11 — 6 months, dose 3
Symptoms: Aching knees ecsma asthma
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): inability to sleep, brain fog- could neither read nor watch TV
Systemic reaction (other): kind of a brain fog, still
Systemic reaction (other): usually my temp is 97.4 or 97.5
Release 11 — day 14, dose 4
Symptoms: lupus is activated, hurting right wrist. right forearm aches, (not a lupus symptom)
Release 11 — day 21, dose 4
Symptoms: Lupus has kicked up around wrist, finger, ankles
Release 11 — day 35, dose 4
Symptoms: Joint pain, knee in particular
Release 11 — day 42, dose 4
Symptoms: joint pain
Release 12 — 6 months, dose 4
Symptoms: after flu vaccine 10/7, tingling numbness right foot, then a week later left foot, right thigh
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 | Impaired healing | ○ | ✓ | ○ |
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cardiovascular symptom | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain in jaw | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release