56U-11663-14255
4 vaccinations
23 coded responses
47 check-ins
23 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
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2021-01-22
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain, Pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shooting pains down neck sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Glossodynia — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Spots on tongue that hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Tongue eruption — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Bumps / sores on tongue are going awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-29
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Survey response — day 14, dose 1MedDRA: Fatigue, Lymphadenopathy, Peripheral coldness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swollen gland under- below armpit on side of vaccine. Fatigue. Cold hands and feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-12
Survey response — day 21, dose 1MedDRA: Blood cholesterol increased, Chills, Fatigue, Lymphadenopathy, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Swollen glands under arm and on side of torso breast level. Still some fatigue. Still some chills. 3wks post shot # 1. Elevated cholesterol (dk if related). Still not back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-19
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2021-02-24
Dose 2 — Moderna
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still have swollen glands under arm from shot#1.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands from first shot are worseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands under arm and on side from shot 1 have gotten largerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands under arm and on side of torsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Swollen gland under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Oedema peripheral — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen glands on side and under arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 7, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Chills, Headache, Fatigue or tirednessFree text: Swollen glands under L arm, started w shot #1, got worse w shot#2.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 14, dose 2MedDRA: Lymphadenopathy — Feeling: FairFree text: Still have swollen glands under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-03-24
Survey response — day 28, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have swollen glands under left arm from first shot, we're improving then got worse with second shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 35, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have swollen glands under armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
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2021-05-26
Survey response — 3 months, dose 2MedDRA: Dermatitis, Lymphadenopathy, Pain in extremity, Peripheral swelling, Specialist consultation — Feeling: Fair · 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: Symptoms: Swollen, inflammed knuckle of ring finger left hand. Went to hand surgeon, world famous, who said they are seeing this from moderna. It is painful. Still have swollen glands under arm started w shot #1. · Healthcare visit (other): Saw hand specialist/ surgeon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
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)
- 2021-06-14
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2021-06-21
Call successfulCompleted over the phone
- 2021-08-25
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2021-10-25
Dose 3 — Moderna
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen glands under arm pitMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Vertigo — Feeling: Poor · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Vertigo and dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Ageusia, Chills, Fatigue — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: 3 weeks of chills, exhaustion, and loss of some taste. Tested negative on a PCR testMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-28
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2022-04-07
Dose 4 — Moderna
- 2022-04-18
- 2022-04-24
- 2022-04-28
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2022-05-06
Survey response — day 28, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Some Swollen lymph glands under shot arm on side of chest.had same thing w 1st shot but it lasted 6 wks n involved lympth glands under my arm the way down my side.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
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2022-05-19
Survey response — day 42, dose 4MedDRA: Cystocele, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Cystocele · Healthcare visit (other): In person ohhice visitMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2022-05-20
Call successfulParticipant prefers to complete VAERS report online
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2022-05-20
Call successfulParticipant prefers to complete VAERS report online
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2022-05-20
Call successfulParticipant prefers to complete VAERS report online
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2022-05-20
Call successfulParticipant prefers to complete VAERS report online
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2022-07-09
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Lymphadenopathy, Peripheral swelling — Feeling: GoodFree text: Shortness of breath, swelling in feet, and glands still slightly swollen under arm where shot was give.MedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Survey response — 6 months, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen gland in L armpit from bivalent ahotMedDRA releases: 2024-11 · check-in free text available
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Shooting pains down neck sometimes
Systemic reaction (other): Spots on tongue that hurt
Systemic reaction (other): Bumps / sores on tongue are going away
Release 3 — day 14, dose 1
Symptoms: Swollen gland under- below armpit on side of vaccine. Fatigue. Cold hands and feet.
Release 4 — day 21, dose 1
Symptoms: Swollen glands under arm and on side of torso breast level. Still some fatigue. Still some chills. 3wks post shot # 1. Elevated cholesterol (dk if related). Still not back to normal.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Still have swollen glands under arm from shot#1.
Systemic reaction (other): Swollen glands from first shot are worse
Systemic reaction (other): Swollen glands under arm and on side from shot 1 have gotten larger
Systemic reaction (other): Swollen glands under arm and on side of torso
Systemic reaction (other): Swollen gland under arm
Systemic reaction (other): Swollen glands on side and under arm.
Release 5 — day 7, dose 2
Systemic reaction (other): Swollen glands under L arm, started w shot #1, got worse w shot#2.
Release 5 — day 14, dose 2
Symptoms: Still have swollen glands under arm
Release 6 — day 28, dose 2
Symptoms: Still have swollen glands under left arm from first shot, we're improving then got worse with second shot
Release 6 — day 35, dose 2
Symptoms: Still have swollen glands under arm
Release 8 — 3 months, dose 2
Symptoms: Swollen, inflammed knuckle of ring finger left hand. Went to hand surgeon, world famous, who said they are seeing this from moderna. It is painful. Still have swollen glands under arm started w shot #1.
Healthcare visit (other): Saw hand specialist/ surgeon.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen glands under arm pit
Systemic reaction (other): Vertigo and dizziness
Release 11 — 3 months, dose 3
Symptoms: 3 weeks of chills, exhaustion, and loss of some taste. Tested negative on a PCR test
Release 11 — day 28, dose 4
Symptoms: Some Swollen lymph glands under shot arm on side of chest.had same thing w 1st shot but it lasted 6 wks n involved lympth glands under my arm the way down my side.
Release 11 — day 42, dose 4
Release 12 — 3 months, dose 4
Symptoms: Shortness of breath, swelling in feet, and glands still slightly swollen under arm where shot was give.
Release 12 — 6 months, dose 4
Symptoms: Swollen gland in L armpit from bivalent ahot
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 | Office visit | · | · | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Blood cholesterol increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cystocele | · | · | ✓ |
| SD | Dermatitis | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Tongue eruption | ✓ | ✓ | ✓ |
| SRO | Vertigo | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release