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5G7-27914-20267

5 vaccinations 6 coded responses 43 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
344 / FL
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Dose 1 — Moderna
  2. 2021-03-19
    Registered in v-safe
  3. 2021-03-19
    Survey response — day 7, dose 1
    MedDRA: Hypoaesthesia, Nausea, Nerve compression, Skin discolouration — Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Free text: My feet are numb, blue. Probably pinched nerve. Nausea may be hiatal hernia. Things task wrong, funny
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-06
    Dose 2 — Moderna
  7. 2021-04-06
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Blood lactic acid, Burning sensation, Dry eye, Dyspnoea, Ear pain, Energy increased, Headache, Hyperventilation, Insomnia, Mobility decreased, Nasal congestion, Neck pain, Pain, Pain in extremity, Pyrexia, Self-medication, Sleep disorder — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Both arms hurt, like lactic acid and neck. Can't lift arms well. Low grade Fever increases with activity. Onset of all symyoms was around 2a, woke me up. First shot symptoms were milder, lasted exactky a week, arm pain started first short about 4 hours post shot and rest pf symptoms started Friday, day 3, whereas the 2nd shot, all symptoms started about 15 hours post 2nd 10:30a injection. 2nd shot, Ears ache, eyes dry, have low grade fever evrn taking 500 mg acetaminophen. Head hurts when move eyes, stuffy nose. Breathing hard, like allergies. Turnimg on AC helped breathing. Urine hot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-05
    Survey response — 6 months, dose 2
    MedDRA: Abdominal discomfort, Chills, Malaise, Myalgia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: For about a week i frlt covidlike symtoms like i did after my 2nd shot. I gkt trsted and the test was negatve. It was chils; muscle aches stomach upset
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-10-25
    Dose 3 — Moderna
  23. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  24. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · Abdominal pain
    Adult check-in
  25. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  26. 2021-11-08
    Survey response — day 14, dose 3
    MedDRA: Ear pain, Pain in jaw — Feeling: Good
    Free text: Left jaw pain and ear ache
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Chills, Headache, Medical counselling, Oropharyngeal pain, Pain, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sore throat, headache, breathing. Nurse at doctors office said via phone it was covid. I never tested the after 2nd shingles vacinne had chills, headache, body ache. Feel it was reacion to vacinne
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-01
    Dose 4 — Pfizer-BioNTech
    Co-administered: Pneumonia
  33. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-05-18
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-07-01
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-09-19
    Dose 5 — Pfizer-BioNTech
    Co-administered: Flu
  37. 2022-09-20
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  38. 2022-09-21
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  39. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  40. 2022-09-24
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  41. 2022-09-25
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · None
    Adult check-in
  42. 2022-09-26
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  43. 2022-10-03
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  44. 2022-10-10
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  45. 2022-10-19
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  46. 2022-10-24
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  47. 2022-11-01
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  48. 2022-12-19
    Survey response — 3 months, dose 5
    MedDRA: Influenza like illness, Joint swelling, Malaise, Musculoskeletal stiffness, Pain, Pain in extremity, SARS-CoV-2 test negative — 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 visit, Emergency room or emergency department visit
    Free text: My hands get very stiff and hurt especially when i use them. There's swelling in the joints too. I also was sick with flu like symtoms. I tested negatice for covid. It may have been Montezuma revenge as i was in Mexico.
    MedDRA releases: 2024-11 · check-in free text available
  49. 2022-12-19
    Report sent to call center — 3 months, dose 5
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  50. 2022-12-21
    Call successful
    Participant prefers to complete VAERS report online
  51. 2023-03-21
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-06Moderna
32021-10-25Moderna No
42022-04-01Pfizer-BioNTech Pneumonia
52022-09-19Pfizer-BioNTech Flu

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-19

Systemic reaction (other): My feet are numb, blue. Probably pinched nerve. Nausea may be hiatal hernia. Things task wrong, funny

Release 7 — days 1–6 daily, dose 2

2021-04-07

Systemic reaction (other): Both arms hurt, like lactic acid and neck. Can't lift arms well. Low grade Fever increases with activity. Onset of all symyoms was around 2a, woke me up. First shot symptoms were milder, lasted exactky a week, arm pain started first short about 4 hours post shot and rest pf symptoms started Friday, day 3, whereas the 2nd shot, all symptoms started about 15 hours post 2nd 10:30a injection. 2nd shot, Ears ache, eyes dry, have low grade fever evrn taking 500 mg acetaminophen. Head hurts when move eyes, stuffy nose. Breathing hard, like allergies. Turnimg on AC helped breathing. Urine hot

Release 10 — 6 months, dose 2

2021-10-05

Symptoms: For about a week i frlt covidlike symtoms like i did after my 2nd shot. I gkt trsted and the test was negatve. It was chils; muscle aches stomach upset

Release 10 — day 14, dose 3

2021-11-08

Symptoms: Left jaw pain and ear ache

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Sore throat, headache, breathing. Nurse at doctors office said via phone it was covid. I never tested the after 2nd shingles vacinne had chills, headache, body ache. Feel it was reacion to vacinne

Release 12 — 3 months, dose 5

2022-12-19

Symptoms: My hands get very stiff and hurt especially when i use them. There's swelling in the joints too. I also was sick with flu like symtoms. I tested negatice for covid. It may have been Montezuma revenge as i was in Mexico.

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
SDAbdominal discomfort · · ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDEar pain · · ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDJoint swelling · · ✓
SDMalaise · · ✓
SDMedical counselling · · ✓
SDMusculoskeletal stiffness · · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDPain in extremity · · ✓
SDPain in jaw · · ✓
SDSARS-CoV-2 test negative · · ✓
SDUnevaluable event · · ✓
SROAdverse reaction ✓ · ✓
SROBlood lactic acid ○ ✓ ○
SROBurning sensation ✓ · ✓
SRODry eye ✓ ✓ ✓
SRODyspnoea ✓ · ✓
SROEar pain ✓ ✓ ✓
SROEnergy increased ○ ✓ ○
SROHeadache ✓ ✓ ✓
SROHyperventilation ○ ✓ ○
SROHypoaesthesia ✓ ✓ ✓
SROInsomnia ○ ✓ ○
SROMobility decreased ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONerve compression ✓ ✓ ✓
SROPain ✓ · ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓
SROSleep disorder ✓ · ✓

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