STF-26587-31226
5 vaccinations
6 coded responses
36 check-ins
6 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Registered dependents
4W4-18244-11954
Child or adolescent in my care · Male · 2021-11-06
Timeline
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2021-01-04
Dose 1 — Moderna
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2021-02-01
Dose 2 — Moderna
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2021-02-02
Registered in v-safe
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2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Dysphagia, Pharyngeal swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Had some slight swelling in my throat and had a difficult time swallowingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
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2021-02-08
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
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2021-05-03
Survey response — 3 months, dose 2MedDRA: Axillary pain, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: A lump in my left arm pit ..which is one of the arms i received a covid shot in . · Healthcare visit (other): Made an appointment with my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
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2021-10-24
Dose 3 — Moderna
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2021-10-24
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
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2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Chills, Headache, Muscle or body achesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-07
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2022-01-23
Survey response — 3 months, dose 3MedDRA: Injection site pain — Feeling: FairFree text: On and off I still have pain at the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
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2022-04-24
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I tested positive for covid on January 25th, 2022.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
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2022-07-21
Dose 4 — Moderna
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2022-10-14
Dose 5 — ModernaCo-administered: Meningitis:Other:Pneumonia:Tetanus
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2022-10-18
Report sent to call center — days 1–6 daily, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-19
- 2022-10-19
- 2022-10-19
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2022-10-19
Call successfulNot applicable - Accidental Reporting
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2022-10-19
Call successfulNot applicable - Accidental Reporting
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2022-10-19
Call successfulCompleted over the phone
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2022-10-21
Health check-in — day 7, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2022-10-21
Report sent to call center — day 7, dose 5Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-10-24
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2022-10-28
Survey response — day 14, dose 5MedDRA: Lymphadenopathy, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My lymph nodes under my arm are very swollen and have been since my covid shot and I am still experiencing problems from the rash I got from the shot.MedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Survey response — day 21, dose 5MedDRA: Office visit, Pain, Rash, Swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Still fighting a rash from the injection along with pain and swelling. · Healthcare visit (other): Primary Care DoctorMedDRA releases: 2024-11 · check-in free text available
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2022-11-07
Report sent to call center — day 21, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-08
- 2022-11-14
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-07-21 | Moderna | No |
| 5 | 2022-10-14 | Moderna | Meningitis:Other:Pneumonia:Tetanus |
Call center
5 call center cases
3 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Had some slight swelling in my throat and had a difficult time swallowing
Release 8 — 3 months, dose 2
Symptoms: A lump in my left arm pit ..which is one of the arms i received a covid shot in .
Healthcare visit (other): Made an appointment with my doctor.
Release 11 — 3 months, dose 3
Symptoms: On and off I still have pain at the injection site.
Release 11 — 6 months, dose 3
Symptoms: I tested positive for covid on January 25th, 2022.
Release 12 — day 14, dose 5
Symptoms: My lymph nodes under my arm are very swollen and have been since my covid shot and I am still experiencing problems from the rash I got from the shot.
Release 12 — day 21, dose 5
Symptoms: Still fighting a rash from the injection along with pain and swelling.
Healthcare visit (other): Primary Care Doctor
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release