5MQ-11459-32828
3 vaccinations
3 coded responses
4 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 860 / AZ
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-07
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
-
2021-03-05
Survey response — day 21, dose 1MedDRA: Asthenia, Cough, Fatigue, Feeling abnormal, Hot flush, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: 10 days after my first vaccine I started experiencing extreme fatigue. sometimes I feel brain fog, weakness and pain. I also have daily coughing and what feels like hot flashes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Dose 2 — Moderna
-
2021-03-21
Survey response — day 14, dose 2MedDRA: Arthralgia, Chills, Headache, Injection site erythema, Myalgia, Nausea, Pain, Vaccination site pain — Feeling: Fair · Be unable to work, 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: Extreme pain in every joint and muscle in my body, chills, headache, nd extreme redness and pain in the vaccination arm that lasted 9 days. The pain isnt completely gone. For 2 days i had nausea...after I ate. Pain throughout my body went away afterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Report sent to call center — day 14, 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)
- 2021-04-03
-
2021-04-12
Survey response — day 35, dose 2MedDRA: Arthralgia, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had joint pain and nausea one dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-12-18
Dose 3 — Moderna
-
2022-03-04
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-07 | Moderna | |
| 2 | 2021-03-07 | Moderna | |
| 3 | 2021-12-18 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 21, dose 1
Symptoms: 10 days after my first vaccine I started experiencing extreme fatigue. sometimes I feel brain fog, weakness and pain. I also have daily coughing and what feels like hot flashes.
Release 6 — day 14, dose 2
Symptoms: Extreme pain in every joint and muscle in my body, chills, headache, nd extreme redness and pain in the vaccination arm that lasted 9 days. The pain isnt completely gone. For 2 days i had nausea...after I ate. Pain throughout my body went away after cut off by CDC
Release 7 — day 35, dose 2
Symptoms: I had joint pain and nausea one day
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release