Y7X-28829-31922
4 vaccinations
14 coded responses
36 check-ins
13 free-text entries
7 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
- 2021-01-23
- 2021-01-24
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-29
- 2021-02-04
- 2021-02-11
- 2021-02-18
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2021-02-21
Dose 2 — Moderna
- 2021-02-21
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
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2021-03-07
Survey response — day 14, dose 2MedDRA: Arthralgia, Myalgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle and joint aches · Healthcare visit (other): chiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-14
Survey response — day 21, dose 2MedDRA: Arthralgia, Office visit, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My neck, back, muscles and joints have been getting progressively painful since the middle of Feb, a few wks after my 1st shot. I was in such pain that I went to my internist this wk and she thinks I've had an inflammatory response to the shots. · Healthcare visit (other): internistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-21
Survey response — day 28, dose 2MedDRA: Arthralgia, Decreased appetite, Gait disturbance, Inflammation, Insomnia, Myalgia, Weight decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shoulder joint pain, muscle pain, inability to walk, trouble sleeping, loss of appetite, weight loss. Am on my 2nd round of steroids, which seem to be finally helping.. · Healthcare visit (other): visit to my internist...she thinks I've had an inflammatory response to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-28
Survey response — day 35, dose 2MedDRA: Arthralgia, Back pain, Neck pain, Office visit, Pain in extremity — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: New joint pain in hip; continuing joint pain in knees & shoulders; muscle pain in legs, neck & back. After 2 weeks of severe pain and 2 rounds of steroids, I am slowly beginning to improve. I am scheduled to see a rheumatologist this week. · Healthcare visit (other): internist with referral to a rheumatologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-04
Survey response — day 42, dose 2MedDRA: Arthralgia, Dizziness, Fatigue, Headache, Immunisation reaction, Inflammatory marker increased, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Painful shoulder and knee joints, some dizziness, slight headaches, fatigue · Healthcare visit (other): I visited a rheumatologist this week and he did bloodwork which showed high inflammation markers. He also said that he thinks I might have been exlosed to Covid before my shots, and though my body fought it off, I developed antibodies which might have caused my severe reaction to the shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-23
Survey response — 3 months, dose 2MedDRA: Arthralgia, Blood creatinine increased, Dysstasia, Gait disturbance, Insomnia, Malaise, Myalgia, Office visit, Pain, Polyarthritis, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Migrating arthritis/ joint pain; muscle aches. Makes walking/ rising from sitting somewhat painful and hard to sleep at night. I am a LOT better than before. My initial bloodwork showed a CRT of 266 ! Last bloodwork showed it at 5. Not well yet. · Healthcare visit (other): Internist and rheumatologist so far. Have been referred to a neurologist as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
- 2021-08-22
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2022-01-14
Dose 3 — Pfizer-BioNTech
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2022-02-21
Survey response — day 35, dose 3MedDRA: Arthralgia, Headache, Myalgia — Feeling: GoodFree text: Headaches; slight joint and muscle painMedDRA releases: 2024-11 · check-in free text available
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2022-02-21
Survey response — 12 months, dose 2MedDRA: Arthralgia, Headache, Myalgia — Feeling: GoodFree text: Headaches; joint and muscle painMedDRA releases: 2024-11 · check-in free text available
- 2022-02-25
- 2022-04-15
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2022-07-15
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Beginnings of slight muscle and joint pain again. First time it has flared up in months.MedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Dose 4 — Pfizer-BioNTech
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2022-10-16
Survey response — day 7, dose 4MedDRA: Arthralgia, Office visit — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Went to orthopedic doctor for shoulder painMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Report sent to call center — day 7, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-17
Survey response — day 14, dose 4MedDRA: Arthralgia — Feeling: FairFree text: Sore wrist joint on left handMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
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2022-10-18
Callback requested for11:05AM ET
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
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2022-10-18
Call successfulCompleted over the phone
- 2022-10-24
- 2022-10-31
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2022-11-07
Survey response — day 35, dose 4MedDRA: Hypogeusia, Hyposmia — Feeling: GoodFree text: Since the booster shot 4 weeks ago, I have noticed a decreased sense of smell and taste.MedDRA releases: 2024-11 · check-in free text available
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2022-11-14
Survey response — day 42, dose 4MedDRA: Headache, Pain — Feeling: GoodFree text: Shooting pains in one side of head. Only lasted about a week. Gone now.MedDRA releases: 2024-11 · check-in free text available
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2023-01-02
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2022-01-14 | Pfizer-BioNTech | No |
| 4 | 2022-10-03 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-07 | Successful 2022-10-18 |
Completed over the phone |
| 2021-03-14 | Successful 2022-10-18 |
Completed over the phone |
| 2021-03-21 | Successful 2022-10-18 |
Completed over the phone |
| 2021-03-28 | Successful 2022-10-18 |
Completed over the phone |
| 2021-04-04 | Successful 2022-10-18 |
Completed over the phone |
| 2021-05-23 | Successful 2022-10-18 |
Completed over the phone |
| 2022-10-16 | Successful 2022-10-18 |
Completed over the phone |
Free text
Release 5 — day 14, dose 2
Release 5 — day 21, dose 2
Symptoms: My neck, back, muscles and joints have been getting progressively painful since the middle of Feb, a few wks after my 1st shot. I was in such pain that I went to my internist this wk and she thinks I've had an inflammatory response to the shots.
Healthcare visit (other): internist
Release 6 — day 28, dose 2
Symptoms: Shoulder joint pain, muscle pain, inability to walk, trouble sleeping, loss of appetite, weight loss. Am on my 2nd round of steroids, which seem to be finally helping..
Healthcare visit (other): visit to my internist...she thinks I've had an inflammatory response to the vaccine.
Release 6 — day 35, dose 2
Symptoms: New joint pain in hip; continuing joint pain in knees & shoulders; muscle pain in legs, neck & back. After 2 weeks of severe pain and 2 rounds of steroids, I am slowly beginning to improve. I am scheduled to see a rheumatologist this week.
Healthcare visit (other): internist with referral to a rheumatologist
Release 6 — day 42, dose 2
Symptoms: Painful shoulder and knee joints, some dizziness, slight headaches, fatigue
Healthcare visit (other): I visited a rheumatologist this week and he did bloodwork which showed high inflammation markers. He also said that he thinks I might have been exlosed to Covid before my shots, and though my body fought it off, I developed antibodies which might have caused my severe reaction to the shots.
Release 8 — 3 months, dose 2
Symptoms: Migrating arthritis/ joint pain; muscle aches. Makes walking/ rising from sitting somewhat painful and hard to sleep at night. I am a LOT better than before. My initial bloodwork showed a CRT of 266 ! Last bloodwork showed it at 5. Not well yet. cut off by CDC
Healthcare visit (other): Internist and rheumatologist so far. Have been referred to a neurologist as well.
Release 11 — day 35, dose 3
Symptoms: Headaches; slight joint and muscle pain
Release 11 — 12 months, dose 2
Symptoms: Headaches; joint and muscle pain
Release 12 — 6 months, dose 3
Symptoms: Beginnings of slight muscle and joint pain again. First time it has flared up in months.
Release 12 — day 7, dose 4
Healthcare visit (other): Went to orthopedic doctor for shoulder pain
Release 12 — day 14, dose 4
Symptoms: Sore wrist joint on left hand
Release 12 — day 35, dose 4
Symptoms: Since the booster shot 4 weeks ago, I have noticed a decreased sense of smell and taste.
Release 12 — day 42, dose 4
Symptoms: Shooting pains in one side of head. Only lasted about a week. Gone now.
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 | Arthralgia | · | · | ✓ |
| HCVO | Immunisation reaction | ✓ | ✓ | ✓ |
| HCVO | Inflammation | ✓ | ✓ | ✓ |
| HCVO | Inflammatory marker increased | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Blood creatinine increased | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysstasia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Polyarthritis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Weight decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release