5T8-18174-20451
2 vaccinations
4 coded responses
8 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 666 / KS
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
-
2021-02-25
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to workFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Arthralgia, Bone pain, Chills, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I had chills on 02-25 & fever on 02-27. Since I got the vaccine on 02-16, Ive had body aches and, most concerning, a pain in my right hip bone. Not the joint but the bone itself. Its finally healing and I can move today with minimal pa · Healthcare visit (other): I went to CVS and got a COVID-19 test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-18
Dose 2 — Moderna
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-03
Survey response — day 14, dose 2MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: On the 30th I had a horrible headache and extreme fatigue. I slept almost all day. I had diarrhea that night. Neither my daily routine nor my eating pattern had not differed from the usual. On the 31st I got up, felt fine and went to work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-23
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My COVID hip was hurting me. I never had pain in my hip until I received the first shot. Its not the joint; its the actual hip bone, the llium.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-01-22
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Dizziness
Release 4 — day 14, dose 1
Symptoms: I had chills on 02-25 & fever on 02-27. Since I got the vaccine on 02-16, Ive had body aches and, most concerning, a pain in my right hip bone. Not the joint but the bone itself. Its finally healing and I can move today with minimal pa
Healthcare visit (other): I went to CVS and got a COVID-19 test.
Release 6 — day 14, dose 2
Symptoms: On the 30th I had a horrible headache and extreme fatigue. I slept almost all day. I had diarrhea that night. Neither my daily routine nor my eating pattern had not differed from the usual. On the 31st I got up, felt fine and went to work.
Release 7 — day 35, dose 2
Symptoms: My COVID hip was hurting me. I never had pain in my hip until I received the first shot. Its not the joint; its the actual hip bone, the llium.
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Bone pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release