L7X-25594-76875
5 vaccinations
6 coded responses
39 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 841 / UT
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FPV-20734-55690
Child or adolescent in my care · Male · 2022-06-27
B9V-47135-76396
Child or adolescent in my care · Male · 2022-06-27
BV9-12600-79193
Child or adolescent in my care · Male · 2022-06-27
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-04
Survey response — day 14, dose 1MedDRA: Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash over entire bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-03-19
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)
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Restless legs syndrome — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessFree text: Trouble sleeping, restless legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
-
2021-09-16
Survey response — 6 months, dose 2MedDRA: Cholecystitis infective, Kidney infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Gall bladder and kidney infection, but not related to my vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-16
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-17
- 2021-09-17
- 2021-09-17
- 2021-09-24
- 2021-09-24
-
2021-11-08
Dose 3 — Pfizer-BioNTech
- 2022-03-18
-
2022-06-14
Dose 4 — Pfizer-BioNTech
- 2022-06-27
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-07-26
-
2022-09-30
Dose 5 — Pfizer-BioNTech
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2022-10-11
Survey response — day 7, dose 5MedDRA: Neuralgia — Feeling: Fair · Headache · 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: Nerve pain in faceMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Report sent to call center — day 7, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-12
Call successfulNot applicable - Accidental Reporting
-
2022-10-12
Call successfulNot applicable - Accidental Reporting
-
2022-10-12
Call successfulNot applicable - Accidental Reporting
-
2022-10-12
Call successfulParticipant prefers to complete VAERS report online
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2022-10-14
Survey response — day 14, dose 5MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Never painMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
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2022-12-30
Survey response — 3 months, dose 5MedDRA: Nervous system disorder, Neuralgia — Feeling: Poor · 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: TERRIBLE NERVE PAIN/SENSATIONS. This vaccine should come with a MASSIVE warning.MedDRA releases: 2024-11 · check-in free text available
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2022-12-30
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2023-01-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-11-08 | Pfizer-BioNTech | No |
| 4 | 2022-06-14 | Pfizer-BioNTech | No |
| 5 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
5 call center cases
5 successful
2 waits over 3 months for a first call
Free text
Release 5 — day 14, dose 1
Symptoms: Rash over entire body
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Trouble sleeping, restless legs
Release 9 — 6 months, dose 2
Symptoms: Gall bladder and kidney infection, but not related to my vaccine.
Release 12 — day 7, dose 5
Systemic reaction (other): Nerve pain in face
Release 12 — day 14, dose 5
Symptoms: Never pain
Release 12 — 3 months, dose 5
Symptoms: TERRIBLE NERVE PAIN/SENSATIONS. This vaccine should come with a MASSIVE warning.
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 | Cholecystitis infective | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Restless legs syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release