5NC-22418-22198
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 776 / TX
- Registered
- 2021-12-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-12-16
Registered in v-safe
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2021-12-16
Dose 1 — Moderna
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2021-12-16
Survey response — day 0, dose 1MedDRA: Discomfort, Dry mouth, Feeling cold, Feeling hot, Paraesthesia — Feeling: Fair · Chills, Fatigue or tirednessFree text: Dry mouth, tingling in legs, hot then cold, weird all overMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-19
- 2021-12-20
- 2021-12-21
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2021-12-22
Survey response — days 1–6 daily, dose 1MedDRA: Constipation — Feeling: Fair · Fever · HeadacheFree text: Have not been able to poop since the vaccineMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-30
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2022-01-06
Survey response — day 21, dose 1MedDRA: Anxiety, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe anxiety, shortness of breath and extreme tiredness.MedDRA releases: 2024-11 · check-in free text available
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2022-01-13
Dose 2 — Moderna
- 2022-01-13
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2022-01-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-01-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-01-27
Survey response — day 14, dose 2MedDRA: Adverse food reaction, Anxiety, Feeling abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Certains foods and vitamin I am not able to eat or take that I have earne or taken for a long, make me feel weird now. Have major anxiety.MedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-31
- 2022-02-03
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2022-02-03
Call successfulCompleted over the phone
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2022-02-10
Survey response — day 28, dose 2MedDRA: Immune system disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Unable to take any over the counter medication. Due to vaccine I now have an over active Immune system.MedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-02-14
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-02-17
Survey response — day 35, dose 2MedDRA: Immune system disorder, Self-medication — Feeling: FairFree text: I seem to have an ovwr active immune system now. Before vaccine i was able to take otc meds now i am not able to take otc meds without some kind of side affect.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-24
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2022-04-16
Survey response — 3 months, dose 2MedDRA: Anxiety, Dyspnoea, Heart rate decreased — Feeling: FairFree text: Low heart rate, anxiety, shortness of breathMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-16 | Moderna | No |
| 2 | 2022-01-13 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 10 — day 0, dose 1
Systemic reaction (other): Dry mouth, tingling in legs, hot then cold, weird all over
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Have not been able to poop since the vaccine
Release 10 — day 21, dose 1
Symptoms: Severe anxiety, shortness of breath and extreme tiredness.
Release 11 — day 14, dose 2
Symptoms: Certains foods and vitamin I am not able to eat or take that I have earne or taken for a long, make me feel weird now. Have major anxiety.
Release 11 — day 28, dose 2
Symptoms: Unable to take any over the counter medication. Due to vaccine I now have an over active Immune system.
Release 11 — day 35, dose 2
Symptoms: I seem to have an ovwr active immune system now. Before vaccine i was able to take otc meds now i am not able to take otc meds without some kind of side affect.
Release 11 — 3 months, dose 2
Symptoms: Low heart rate, anxiety, shortness of breath
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 | Adverse food reaction | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release