Y8R-13311-55676
3 vaccinations
6 coded responses
27 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Moderna
- 2021-01-30
- 2021-01-31
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: PainFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Nausea, DiarrheaAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
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2021-03-01
Dose 2 — Moderna
- 2021-03-01
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm soreness is going away much quicker than after the first doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2021-03-06
- 2021-03-07
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2021-03-08
Survey response — day 7, dose 2MedDRA: Frequent bowel movements, Gastrointestinal disorder — Feeling: GoodFree text: Some stomach issues. Not quite diarrhea but definitely increased number of evacuations these past 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-23
- 2021-03-29
- 2021-04-05
- 2021-04-12
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2021-05-31
Survey response — 3 months, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: I have noticed an increased amount of loose bowel movements since taking the vaccine. Not sure if it is due to the vaccine or something else.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-30
Survey response — 6 months, dose 2MedDRA: Anosmia, Dizziness, Dry mouth, Ear congestion, Fatigue, Gastrooesophageal reflux disease, Insomnia, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: I tested positive for COVID-19 and had the following symptoms:Sore throatCongestion (ears and nose)Sneezing Insomnia Loss of smell Dry mouth GERDDizzinessFatigue Fatigue persisted for about a week and a half after other symptomsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-27
Dose 3 — Moderna
- 2022-03-01
-
2022-06-27
Survey response — 6 months, dose 3MedDRA: Abdominal discomfort, COVID-19, Cystitis, Gastrooesophageal reflux disease, Pelvic discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abdominal/pelvic discomfort, bladder infection, acid reflux. Uncertain if this was from COVID. Except for the acid reflux which seems very related as it was a surprise symptom during my COVID bout in AugustMedDRA releases: 2024-11 · check-in free text available
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2022-06-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-27 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Arm soreness is going away much quicker than after the first dose
Release 5 — day 7, dose 2
Systemic reaction (other): Some stomach issues. Not quite diarrhea but definitely increased number of evacuations these past 24 hours
Release 8 — 3 months, dose 2
Symptoms: I have noticed an increased amount of loose bowel movements since taking the vaccine. Not sure if it is due to the vaccine or something else.
Release 9 — 6 months, dose 2
Symptoms: I tested positive for COVID-19 and had the following symptoms:Sore throatCongestion (ears and nose)Sneezing Insomnia Loss of smell Dry mouth GERDDizzinessFatigue Fatigue persisted for about a week and a half after other symptoms
Release 12 — 6 months, dose 3
Symptoms: Abdominal/pelvic discomfort, bladder infection, acid reflux. Uncertain if this was from COVID. Except for the acid reflux which seems very related as it was a surprise symptom during my COVID bout in August
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 | Abdominal discomfort | · | · | ✓ |
| SD | Anosmia | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dry mouth | ✓ | · | ✓ |
| SD | Ear congestion | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pelvic discomfort | · | · | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Frequent bowel movements | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release