6WS-29829-61322
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
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2021-03-20
Survey response — day 0, dose 1MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: It was my 2nd vaccination. I am immune suppressed and have RA. My RA pain symptoms lessened after both vaccine doses.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: PainFree text: I swear, the RA pain was less the day after shot. A little more today. I would like to know whats in it as it reduced RA pain. Today was good.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 21, dose 1MedDRA: Constipation, Fatigue, Headache, Nausea, Neck pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, bad constipation, feeling like throwing up, neck and head hurt,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-18
Survey response — 6 months, dose 1MedDRA: Pre-existing disease, Rash pruritic — Feeling: GoodFree text: Lyme disease I had a couple years ago. The itchy rash came back. Thats all.MedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Survey response — 12 months, dose 1MedDRA: Fatigue, Nasopharyngitis, SARS-CoV-2 test, SARS-CoV-2 test negative, Sensation of foreign body — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: About a week after my booster I got extremely fatigued and it felt like I had a cactus in my throat. Covid test negative. I wondered if the test might have been reading the antibodies in vaccine. Followed with extreme cold like symptoms for weeks. · Healthcare visit (other): COVID testingMedDRA releases: 2024-11 · check-in free text available
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2022-03-20
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-22
-
2022-03-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): It was my 2nd vaccination. I am immune suppressed and have RA. My RA pain symptoms lessened after both vaccine doses.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I swear, the RA pain was less the day after shot. A little more today. I would like to know whats in it as it reduced RA pain. Today was good.
Release 7 — day 21, dose 1
Symptoms: Fatigue, bad constipation, feeling like throwing up, neck and head hurt,
Release 9 — 6 months, dose 1
Symptoms: Lyme disease I had a couple years ago. The itchy rash came back. Thats all.
Release 11 — 12 months, dose 1
Symptoms: About a week after my booster I got extremely fatigued and it felt like I had a cactus in my throat. Covid test negative. I wondered if the test might have been reading the antibodies in vaccine. Followed with extreme cold like symptoms for weeks.
Healthcare visit (other): COVID testing
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 | Constipation | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sensation of foreign body | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release