HYX-19731-31398
1 vaccination
9 coded responses
10 check-ins
9 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 874 / NM
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- N/A
Timeline
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2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
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2020-12-31
Survey response — day 0, dose 1MedDRA: Feeling jittery — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · 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: Jittery through out my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-31
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Oropharyngeal pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Coughing and feeling like i have a sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Cough, Headache, Sinus disorder — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, 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: Coughing, chest pain, bad headaches and sinusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Report sent to call center — days 1–6 daily, 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)
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Cough, Headache, Sinus pain — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, 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: Coughing, chest pain, and bad head and sinus painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-03
Report sent to call center — days 1–6 daily, 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)
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Cough, Dyspnoea — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough, chest pain, hard to take deep breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain, Cough, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · 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 visitFree text: Breathing problems with chest pain and coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Report sent to call center — days 1–6 daily, 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)
- 2021-01-22
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2021-01-23
Survey response — day 21, dose 1MedDRA: Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: In the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-01-25
Call successfulOther
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2021-01-30
Survey response — day 28, dose 1MedDRA: Emergency care — 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: Was in the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Report sent to call center — day 28, 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)
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2021-02-12
Survey response — day 42, dose 1MedDRA: Hospitalisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Was in the hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Report sent to call center — day 42, 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)
- 2021-04-10
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2021-04-14
Callback requested for10:00A EST
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2021-05-01
Call successfulCompleted over the phone
- 2021-12-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna |
Call center
9 call center cases
9 successful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Jittery through out my body.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Coughing and feeling like i have a sore throat
Systemic reaction (other): Coughing, chest pain, bad headaches and sinus
Systemic reaction (other): Coughing, chest pain, and bad head and sinus pain
Systemic reaction (other): Cough, chest pain, hard to take deep breathe
Systemic reaction (other): Breathing problems with chest pain and coughing
Release 2 — day 21, dose 1
Symptoms: In the hospital
Release 3 — day 28, dose 1
Symptoms: Was in the hospital
Release 4 — day 42, dose 1
Symptoms: Was in the 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 |
|---|---|---|---|---|
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Feeling jittery | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release