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
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-11
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush — Feeling: GoodFree text: Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-17
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 42, dose 2MedDRA: 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, HospitalizationFree 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
-
2021-03-19
Report sent to call center — day 42, 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)
- 2021-12-05
-
2021-12-14
Call successfulParticipant prefers to complete VAERS report online
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: 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, HospitalizationFree 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 hospitalMedDRA releases: 2024-11 · check-in free text available
-
2022-02-05
Report sent to call center — 12 months, dose 2Be 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)
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Hot flashes
Release 5 — day 42, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Hospitalisation | · | · | ✓ |
| HCVO | Rehabilitation therapy | · | · | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Myelitis | · | · | ✓ |
| SD | Paralysis | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release