5Q5-29747-15144
4 vaccinations
8 coded responses
55 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 762 / TX
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
-
2021-04-06
Health check-in — day 7, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-06-29
- 2021-09-28
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2021-11-12
Dose 3 — Moderna
- 2021-11-12
- 2021-11-13
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-26
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2021-12-03
Survey response — day 21, dose 3MedDRA: Cough, Dyspnoea, Emergency care, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Cough, congestion, labored breathing. Went to ER & was given Benzonatate & told I was not contagious. Dr followup appt 12/6.MedDRA releases: 2024-11 · check-in free text available
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2021-12-03
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2021-12-07
- 2021-12-07
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2021-12-10
Survey response — day 28, dose 3MedDRA: Cough — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: CoughingMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — day 28, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-12-14
- 2021-12-17
- 2021-12-18
- 2021-12-24
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2022-02-11
Survey response — 3 months, dose 3MedDRA: Back pain, Dizziness, Fatigue, Nausea, Office visit, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Back pain. UTI. Tired. Nausea. Dizziness. · Healthcare visit (other): Follow-up with doctorMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2022-02-14
Call successfulDoes not wish to fill out VAERS report
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2022-02-14
Call successfulDoes not wish to fill out VAERS report
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2022-02-14
Call successfulDoes not wish to fill out VAERS report
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2022-04-23
Dose 4 — Moderna
- 2022-04-23
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Chills, Fatigue or tirednessFree text: LightheadedMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2022-04-30
Health check-in — day 7, dose 4Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-05-07
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2022-05-14
Survey response — day 21, dose 4MedDRA: Body temperature increased, Dehydration, Diarrhoea, Emergency care, Vomiting — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Threw up at work went home halfway through shift. Low-grade temp 99.3. Taking anti-nausea medication. Had diarrhea. Went to ER next day & had tests. Mild dehydration & given anti-nausea Rx. Sugar was 179.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-21
- 2022-05-28
- 2022-06-04
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2022-07-24
Survey response — 3 months, dose 4MedDRA: Glomerular filtration rate increased, Hospitalisation, Renal failure, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Stage 3 kidney failure eGFR was at 30 went up to 45. Going to see a kidney specialist in August. In the hospital for 4 days in June. Had a negative Covid-19 test when I was in the hospital.MedDRA releases: 2024-11 · check-in free text available
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2022-07-24
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-07-26
Call successfulParticipant prefers to complete VAERS report online
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2022-10-22
Survey response — 6 months, dose 4MedDRA: Asthenia, Dizziness, Office visit, Pain, Pre-existing disease, Pyrexia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fevers, pain, dizziness, weakness. On antibiotics for 3 weeks. Also stage 3 kidney disease diagnosed in June 2022 upgraded to stage 2 in August 2022. · Healthcare visit (other): GP visitMedDRA releases: 2024-11 · check-in free text available
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2022-10-22
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-10-25
- 2023-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
Call center
5 call center cases
4 successful · 1 unsuccessful
Free text
Release 10 — day 21, dose 3
Symptoms: Cough, congestion, labored breathing. Went to ER & was given Benzonatate & told I was not contagious. Dr followup appt 12/6.
Release 10 — day 28, dose 3
Symptoms: Coughing
Release 11 — 3 months, dose 3
Symptoms: Back pain. UTI. Tired. Nausea. Dizziness.
Healthcare visit (other): Follow-up with doctor
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lightheaded
Systemic reaction (other): Lightheaded
Release 11 — day 21, dose 4
Symptoms: Threw up at work went home halfway through shift. Low-grade temp 99.3. Taking anti-nausea medication. Had diarrhea. Went to ER next day & had tests. Mild dehydration & given anti-nausea Rx. Sugar was 179.
Release 12 — 3 months, dose 4
Symptoms: Stage 3 kidney failure eGFR was at 30 went up to 45. Going to see a kidney specialist in August. In the hospital for 4 days in June. Had a negative Covid-19 test when I was in the hospital.
Release 12 — 6 months, dose 4
Symptoms: Fevers, pain, dizziness, weakness. On antibiotics for 3 weeks. Also stage 3 kidney disease diagnosed in June 2022 upgraded to stage 2 in August 2022.
Healthcare visit (other): GP visit
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 | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Glomerular filtration rate increased | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Renal failure | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release