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5FX-10770-62097

2 vaccinations 5 coded responses 19 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
790 / TX
Registered
2021-01-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-01
    Registered in v-safe
  3. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Fever · Muscle or body aches
    Adult check-in
  9. 2021-01-14
    Survey response — day 14, dose 1
    MedDRA: Erythema, Feeling hot, Pain, Pyrexia — Feeling: Fair
    Free text: My arm turned red, the size of a baseball, where I got the injection. This happened 9 days after I received it. It still is red but doesnt feel warm as it did. At 6 - 7 days I felt achey and feverish. Just that day, but now at day 14 the same
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-21
    Survey response — day 21, dose 1
    MedDRA: Cellulitis, Chills, Emergency care, Headache, Injection site erythema, Injection site warmth, Malaise, Pyrexia — Feeling: Fair
    Free text: Went to ER on 1/15 - fever/chills and arm, where vaccine was given had large red, warm area. Diagnosis was Cellulitis from vaccine and was given 10 day round of antibiotics. Have since had headaches and not feeling 100%.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-28
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-29
    Dose 2 — Moderna
  13. 2021-02-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: I had a rash in my mid-area on day 3, that and the redness went away after that day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  15. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-30
    Survey response — 3 months, dose 2
    MedDRA: Cough, Discharge, Oropharyngeal pain, Pyrexia, Specialist consultation — Feeling: Fair · 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 visit
    Free text: Symptoms: Sore throat, fever, drainage, cough · Healthcare visit (other): Primary Dr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-30
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-08-01
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2022-01-29
    Survey response — 12 months, dose 2
    MedDRA: Abdominal discomfort, Body temperature increased, Chills, Pharyngeal swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: A bit feverish but not above 98.8. Throat feels a bit swollen. Chills and upset stomach one evening this week. Better today.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-13
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-29Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-14

Symptoms: My arm turned red, the size of a baseball, where I got the injection. This happened 9 days after I received it. It still is red but doesnt feel warm as it did. At 6 - 7 days I felt achey and feverish. Just that day, but now at day 14 the same

Release 2 — day 21, dose 1

2021-01-21

Symptoms: Went to ER on 1/15 - fever/chills and arm, where vaccine was given had large red, warm area. Diagnosis was Cellulitis from vaccine and was given 10 day round of antibiotics. Have since had headaches and not feeling 100%.

Release 3 — days 1–6 daily, dose 2

2021-02-04

Systemic reaction (other): I had a rash in my mid-area on day 3, that and the redness went away after that day.

Release 8 — 3 months, dose 2

2021-04-30

Symptoms: Sore throat, fever, drainage, cough
Healthcare visit (other): Primary Dr

Release 11 — 12 months, dose 2

2022-01-29

Symptoms: A bit feverish but not above 98.8. Throat feels a bit swollen. Chills and upset stomach one evening this week. Better today.

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
HCVOSpecialist consultation ✓ ✓ ✓
SDAbdominal discomfort · · ✓
SDBody temperature increased · · ✓
SDCellulitis ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDischarge ✓ ✓ ✓
SDEmergency care ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPharyngeal swelling · · ✓
SDPyrexia ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SRORash ✓ ✓ ✓

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