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XY8-16392-97774

4 vaccinations 8 coded responses 22 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
787 / TX
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Dose 1 — Moderna
  2. 2021-02-11
    Dose 2 — Moderna
  3. 2021-02-12
    Registered in v-safe
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue, Insomnia, Nasal congestion, Pain — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling cold — Feeling: Good · Muscle or body aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthritis, Back pain, Nasopharyngitis, Pain in extremity, Pre-existing disease — Feeling: Fair · Muscle or body aches, Nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-18
    Survey response — 7 day, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-02-25
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-25
    Survey response — 42 day, dose 2
    MedDRA: Dizziness, Headache — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-05-13
    Survey response — 3 month, dose 2
    MedDRA: Arthralgia, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-05-13
    Report sent to call center — 3 month, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-12
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-03
    Dose 3 — Moderna
  20. 2022-02-11
    Survey response — 12 month, dose 2
    MedDRA: Abdominal discomfort, Flatulence — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  21. 2022-03-31
    Dose 4 — Pfizer-BioNTech
  22. 2022-04-07
  23. 2022-04-26
    Health check-in — 21 day, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-04-28
    Health check-in — 28 day, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-05-05
    Health check-in — 35 day, dose 4
    Feeling: Fair
    Adult check-in
  26. 2022-05-12
    Health check-in — 42 day, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-30
    Health check-in — 3 month, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-01
    Health check-in — 6 month, dose 4
    Feeling: Good
    Adult check-in
  29. 2023-04-01
    Survey response — 12 month, dose 4
    MedDRA: COVID-19, Tinnitus — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    MedDRA releases: 2024-11 · check-in answers available
  30. 2023-04-01
    Report sent to call center — 12 month, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  31. 2023-04-04
    Call successful
    Participant prefers to complete VAERS report online
  32. 2023-04-04
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-11Moderna
32021-11-03Moderna No
42022-03-31Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-13 Successful
2023-04-04
Participant prefers to complete VAERS report online
2023-04-01 Successful
2023-04-04
Participant prefers to complete VAERS report online

Free text

Release 4

Systemic reaction (other): The worst was last night with such body pain all over that I could hardly sleep so I was very tired today and still body pains. Also stuffy nose this evening and feeling chilled but not shaking with chills.

Systemic reaction (other): Freezing weather, electricity out, no heat, so very cold!@

Systemic reaction (other): Power is out and very cold so that might account for any symptoms and arthritis, but since the vaccine e I have had leg pains at night. It could be because of my lower back.

Systemic reaction (other): Could be arthritis and cold weather

Release 6

Symptoms: Some dizziness and slight headache

Release 8

Symptoms: Joint aches and fever for one day

Release 11

Symptoms: Digestive upsets, gas

Free-text releases are not linked to a specific 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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort · · ✓
SDArthralgia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDFlatulence · · ✓
SDHeadache ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDTinnitus · · ✓
SROArthritis ✓ ✓ ✓
SROBack pain ✓ ✓ ○
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ○
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release