62Q-86265-28174
3 vaccinations
10 coded responses
25 check-ins
10 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2020-12-30
Dose 1 — Moderna
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2021-01-26
Dose 2 — Moderna
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2021-01-29
Registered in v-safe
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain lower, Back pain, Haematuria, Micturition disorder, Pollakiuria — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hematuria, lower back pain, lower abdominal pain, frequent micturitionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Haematuria, Unevaluable event — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Gross Hematuria. · Healthcare visit (other): Urologist appointment scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Haematuria — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: HematuriaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
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2021-02-16
Survey response — day 21, dose 2MedDRA: Cough, Fatigue — Feeling: FairFree text: Coughing, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
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2021-03-10
Survey response — day 42, dose 2MedDRA: Bladder cancer, Office visit — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have now been diagnosed with cancer of the bladder. Call [phone] · Healthcare visit (other): ProceduresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-28
Survey response — 3 months, dose 2MedDRA: Bladder disorder, Renal disorder, Surgery, Transitional cell carcinoma, Transurethral bladder resection — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Urothilial carcinoma bladder and kidney · Healthcare visit (other): Surgery- cysto TURBMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — 3 months, 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)
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2021-06-04
Call successfulCompleted over the phone
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2021-06-04
Call successfulCompleted over the phone
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2021-06-04
Call successfulCompleted over the phone
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2021-06-04
Call successfulCompleted over the phone
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Transitional cell carcinoma, Transurethral bladder resection — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Urothilial Carcinoma. 2 TURB SURGERIES. Waiting for BCG Therapy. · Healthcare visit (other): 2 surgeries- CystoTURBTMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-27
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
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2021-11-15
Dose 3 — Moderna
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2021-11-15
Survey response — day 0, dose 3MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Runny nosecMedDRA releases: 2024-11 · check-in free text available
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body aches, Abdominal painAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-11-24
Health check-in — day 7, dose 3Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-30
- 2022-02-14
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2022-05-16
Survey response — 6 months, dose 3MedDRA: Surgery, Transitional cell carcinoma — 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 · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Urothelial carcinoma · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Report sent to call center — 6 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-17
- 2022-05-17
- 2022-05-17
- 2022-05-17
- 2022-05-17
- 2022-05-17
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2022-11-15
Survey response — 12 months, dose 3MedDRA: Bladder cancer, Cancer surgery, Surgery — 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: One day post op bladder cancer - 6th surgery . Diagnosed since Covid vaccine. · Healthcare visit (other): Surgery #6MedDRA releases: 2024-11 · check-in free text available
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2022-11-15
Report sent to call center — 12 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 pr1 call case(s)
- 2022-11-16
- 2022-11-16
- 2022-11-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
7 call center cases
4 successful · 3 unsuccessful
VAERS report filed, before or during a call: 5
4 waits over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Hematuria, lower back pain, lower abdominal pain, frequent micturition
Systemic reaction (other): Gross Hematuria.
Healthcare visit (other): Urologist appointment scheduled
Systemic reaction (other): Hematuria
Release 4 — day 21, dose 2
Symptoms: Coughing, fatigue.
Release 5 — day 42, dose 2
Symptoms: I have now been diagnosed with cancer of the bladder. Call [phone]
Healthcare visit (other): Procedures
Release 8 — 3 months, dose 2
Symptoms: Urothilial carcinoma bladder and kidney
Healthcare visit (other): Surgery- cysto TURB
Release 9 — 6 months, dose 2
Symptoms: Urothilial Carcinoma. 2 TURB SURGERIES. Waiting for BCG Therapy.
Healthcare visit (other): 2 surgeries- CystoTURBT
Release 10 — day 0, dose 3
Systemic reaction (other): Runny nosec
Release 11 — 6 months, dose 3
Release 12 — 12 months, dose 3
Symptoms: One day post op bladder cancer - 6th surgery . Diagnosed since Covid vaccine.
Healthcare visit (other): Surgery #6
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 | Emergency care | ○ | ○ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Surgery | ✓ | ✓ | ✓ |
| HCVO | Transurethral bladder resection | ✓ | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Bladder cancer | ✓ | ✓ | ✓ |
| SD | Bladder disorder | ✓ | ✓ | ○ |
| SD | Cancer surgery | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Renal disorder | ✓ | ✓ | ○ |
| SD | Transitional cell carcinoma | ✓ | · | ✓ |
| SD | Transurethral bladder resection | ✓ | · | ✓ |
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Haematuria | ✓ | ✓ | ✓ |
| SRO | Micturition disorder | ○ | ✓ | ○ |
| SRO | Pollakiuria | ✓ | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release