WQV-17909-57937
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 786 / TX
- Registered
- 2021-11-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-03
Registered in v-safe
-
2021-11-03
Dose 1 — Moderna
- 2021-11-03
-
2021-11-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-12
Health check-in — day 7, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-17
Survey response — day 14, dose 1MedDRA: Arthralgia, Fatigue, Office visit, Palpitations, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Palpitations, swelling in extremities, joint pain, excess fatigue · Healthcare visit (other): Discussion during visit with prenatal specialistMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-19
- 2021-11-27
- 2021-12-01
- 2021-12-08
-
2021-12-09
Dose 2 — Moderna
-
2021-12-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-12-16
Health check-in — day 7, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
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2022-01-20
Survey response — day 42, dose 2MedDRA: COVID-19, Chest pain, Emergency care, Heart rate increased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I have Covid! I've been in the ER due to chest pain/increased heart rate. I had an EKG and CT to monitor my heart and check for blood clots. There was concern with the baby and had to have an ultrasound to check heart, lungs, and monitor movement.MedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Report sent to call center — day 42, dose 2Be 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)
- 2022-01-21
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2022-03-10
Survey response — 3 months, dose 2MedDRA: Cardiac discomfort, Systemic inflammatory response syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Autoimmune/Inflammatory responses Heart stressMedDRA releases: 2024-11 · check-in free text available
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2022-03-10
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-11
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2022-03-15
Call successfulDoes not wish to fill out VAERS report
- 2022-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-03 | Moderna | No |
| 2 | 2021-12-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-17 | Successful | Does not wish to fill out VAERS report |
| 2022-01-20 | Successful | Does not wish to fill out VAERS report |
| 2022-03-10 | Successful 2022-03-15 |
Does not wish to fill out VAERS report |
Free text
Release 10 — day 14, dose 1
Symptoms: Palpitations, swelling in extremities, joint pain, excess fatigue
Healthcare visit (other): Discussion during visit with prenatal specialist
Release 10 — day 42, dose 2
Symptoms: I have Covid! I've been in the ER due to chest pain/increased heart rate. I had an EKG and CT to monitor my heart and check for blood clots. There was concern with the baby and had to have an ultrasound to check heart, lungs, and monitor movement.
Release 11 — 3 months, dose 2
Symptoms: Autoimmune/Inflammatory responses Heart stress
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 | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cardiac discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Systemic inflammatory response syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release