SYQ-17835-38263
2 vaccinations
4 coded responses
27 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 759 / TX
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
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2021-02-11
Survey response — day 0, dose 1MedDRA: Dysgeusia, Parosmia — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: I can taste/smell a chemical oderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-16
Dose 2 — Moderna
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2021-03-16
Survey response — day 0, dose 2MedDRA: Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, DiarrheaFree text: I can taste it, my tattoo lines are standing up like braille.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Tattoo associated skin reaction — Feeling: Poor · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Raised tattoo edges that itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-15
- 2021-04-20
- 2021-04-27
- 2021-06-17
- 2021-09-14
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2022-03-16
Survey response — 12 months, dose 2MedDRA: Brain fog, Fatigue — Feeling: Fair · 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 visitFree text: Brain fog, exhaustionMedDRA releases: 2024-11 · check-in free text available
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2022-03-16
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 · 1 call case(s)
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2022-03-17
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-16 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I can taste/smell a chemical oder
Release 5 — day 0, dose 2
Systemic reaction (other): I can taste it, my tattoo lines are standing up like braille.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Raised tattoo edges that itch.
Release 11 — 12 months, dose 2
Symptoms: Brain fog, exhaustion
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 | Brain fog | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tattoo associated skin reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release