Y7W-19393-63923
4 vaccinations
17 coded responses
51 check-ins
16 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 777 / TX
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Moderna
- 2021-03-10
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Good · Site: PainFree text: Anxiety about getting 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-13
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: GoodFree text: Sinus congestion (allergies?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
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2021-03-17
Survey response — day 7, dose 1MedDRA: Paranasal sinus discomfort — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Severe sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
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2021-04-07
Survey response — day 0, dose 2MedDRA: Euphoric mood — Feeling: Good · Site: PainFree text: Mild euphoriaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Foggy mental stateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Agitation, Anxiety — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Mental agitation/anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Mental disorder — Feeling: Good · Site: Pain · Joint pains, NauseaFree text: Mental distress and anxiety are improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Hypersensitivity, Musculoskeletal stiffness — Feeling: GoodFree text: Allergies/ some stiffness in handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-21
Survey response — day 14, dose 2MedDRA: Fatigue, Nausea, Sinusitis — Feeling: GoodFree text: Nausea, severe sinusitis, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-05-12
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2021-05-19
Survey response — day 42, dose 2MedDRA: Dysgeusia, Nausea, Rhinorrhoea — Feeling: FairFree text: Waking up with mild nausea and nasal discharge with a metallic taste.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Survey response — 3 months, dose 2MedDRA: Office visit, Sinus congestion, Sinus pain, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus congestion and pain. Treated for sinus infection by primary care doctors office. · Healthcare visit (other): Primary care doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-15
- 2021-07-17
- 2021-10-06
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2021-12-10
Dose 3 — Moderna
- 2021-12-10
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2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Thinking abnormal — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Strange thought patterns.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-15
- 2021-12-16
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2021-12-17
Survey response — day 7, dose 3MedDRA: Paranasal sinus discomfort — Feeling: Fair · HeadacheFree text: Sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-14
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2022-01-21
Survey response — day 42, dose 3MedDRA: Cough, Office visit, Pyrexia, Sinus congestion — Feeling: Poor · Be unable to work or attend school, 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: Symptoms: Sinus congestion, cough, slight fever · Healthcare visit (other): Doctor OfficeMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-24
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2022-01-24
Call successfulParticipant prefers to complete VAERS report online
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2022-03-11
Survey response — 3 months, dose 3MedDRA: Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain in fingers. Right heel pain.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
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2022-10-27
Dose 4 — Moderna
- 2022-10-30
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2022-10-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-01
- 2022-11-02
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2022-11-03
Survey response — day 7, dose 4MedDRA: Mental fatigue — Feeling: Good · Joint painsFree text: Mental fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
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2023-04-29
Survey response — 6 months, dose 4MedDRA: Brain fog, Insomnia, Sinus congestion, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-29
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-05-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-09 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-01-21 | Successful 2022-01-24 |
Participant prefers to complete VAERS report online |
| 2023-04-29 | Successful 2023-05-01 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Anxiety about getting 2nd shot
Systemic reaction (other): Sinus congestion (allergies?)
Release 5 — day 7, dose 1
Systemic reaction (other): Severe sinus pressure
Release 7 — day 0, dose 2
Systemic reaction (other): Mild euphoria
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Foggy mental state
Systemic reaction (other): Mental agitation/anxiety
Systemic reaction (other): Mental distress and anxiety are improving.
Systemic reaction (other): Allergies/ some stiffness in hands
Release 7 — day 14, dose 2
Symptoms: Nausea, severe sinusitis, fatigue.
Release 8 — day 42, dose 2
Symptoms: Waking up with mild nausea and nasal discharge with a metallic taste.
Release 9 — 3 months, dose 2
Symptoms: Sinus congestion and pain. Treated for sinus infection by primary care doctors office.
Healthcare visit (other): Primary care doctor visit
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Strange thought patterns.
Release 10 — day 7, dose 3
Systemic reaction (other): Sinus pressure
Release 11 — day 42, dose 3
Release 11 — 3 months, dose 3
Symptoms: Joint pain in fingers. Right heel pain.
Release 12 — day 7, dose 4
Systemic reaction (other): Mental fatigue
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 | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sinus pain | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Agitation | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Euphoric mood | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Mental disorder | ✓ | ✓ | ✓ |
| SRO | Mental fatigue | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Thinking abnormal | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release