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6RH-21556-61624

2 vaccinations 3 coded responses 21 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
761 / TX
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-08
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hot flush — Feeling: Good
    Free text: Hot flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-19
    Survey response — day 42, dose 2
    MedDRA: Hospitalisation, Immunisation reaction, Muscular weakness, Myalgia, Paralysis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Had Shingrex vaccine on March. 9 and have experienced lower extremity paralysis and admitted to hospital March 18 with catheter in Inserted and severe muscle pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-19
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-12-05
  26. 2021-12-14
    Call successful
    Participant prefers to complete VAERS report online
  27. 2022-02-05
    Survey response — 12 months, dose 2
    MedDRA: Hospitalisation, Myelitis, Reaction to previous exposure to any vaccine, Rehabilitation therapy — Feeling: Good · 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, Hospitalization
    Free text: Symptoms: I had a reaction after the second COVID shot Moderna in March 2021 after taking a Shringrex shingles vaccine 4 weeks after the 2nd COVID shot. Diagnosis was myelitis. Had full recovery following a 9 day hospital stay. Took Pfizer booster 11/2021 · Healthcare visit (other): Rehab for several weeks following hospital
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-02-05
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  29. 2022-02-08

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Hot flashes

Release 5 — day 42, dose 2

2021-03-19

Symptoms: Had Shingrex vaccine on March. 9 and have experienced lower extremity paralysis and admitted to hospital March 18 with catheter in Inserted and severe muscle pain.

Release 11 — 12 months, dose 2

2022-02-05

Symptoms: I had a reaction after the second COVID shot Moderna in March 2021 after taking a Shringrex shingles vaccine 4 weeks after the 2nd COVID shot. Diagnosis was myelitis. Had full recovery following a 9 day hospital stay. Took Pfizer booster 11/2021 cut off by CDC
Healthcare visit (other): Rehab for several weeks following hospital

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

FieldPreferred term2021-092023-042024-11
HCVOHospitalisation · · ✓
HCVORehabilitation therapy · · ✓
SDHospitalisation ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDMyelitis · · ✓
SDParalysis ✓ ✓ ✓
SDReaction to previous exposure to any vaccine · · ✓
SROHot flush ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release