YHR-23656-26185
5 vaccinations
24 coded responses
58 check-ins
23 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-05
Dose 1 — Moderna
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2021-02-06
Registered in v-safe
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Throat tightness — Feeling: Good · Site: Pain · Headache, Joint painsFree text: Ear ache, throat tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling — Feeling: Good · Site: Pain · Headache, Joint painsFree text: swollen throat; it's allergy season, so hard to know what's causingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throat, ear left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore thtistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-12
- 2021-02-19
- 2021-02-26
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2021-03-05
Dose 2 — Moderna
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2021-03-05
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: After yesterday's report I felt feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
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2021-03-20
Survey response — day 14, dose 2MedDRA: Blood pressure increased, Fatigue, Nausea, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree text: NauseaElevated blood pressure Not sure if this is related to vaccineRash .. a few new spotsFatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 21, dose 2MedDRA: Hypopnoea — Feeling: GoodFree text: Shallow breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-16
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2021-06-06
Survey response — 3 months, dose 2MedDRA: Diverticulitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Diverticulitis, which has no relation to my COVID vaccination. In general, I remain pleased and thankful to have received the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-06
Report sent to call center — 3 months, 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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2021-09-05
Survey response — 6 months, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: Felt feverish a few daysMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-06
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2021-11-18
Dose 3 — Moderna
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
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2021-12-02
Survey response — day 14, dose 3MedDRA: Chills — Feeling: GoodFree text: ChillsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
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2021-12-16
Survey response — day 28, dose 3MedDRA: Respiratory tract irritation — Feeling: GoodFree text: Dryness in chest / lungsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
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2022-01-01
Survey response — day 42, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: Rapid and heavy heartbeatMedDRA releases: 2024-11 · check-in free text available
- 2022-02-17
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2022-05-19
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Misc, nothing seriousMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Dose 4 — Moderna
- 2022-07-27
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2022-07-28
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness in arm muscle around injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-07-29
Survey response — days 1–6 daily, dose 4MedDRA: Dry mouth — Feeling: GoodFree text: Dry mouth (but it's been 100+ in (b)(6) this entire month)MedDRA releases: 2024-11 · check-in free text available
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2022-07-30
Survey response — days 1–6 daily, dose 4MedDRA: Joint swelling, Pruritus — Feeling: Good · Site: ItchingFree text: Swolen, concentrated patch above interior of left ankle that has been very itchy since yesterdayMedDRA releases: 2024-11 · check-in free text available
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2022-07-31
Survey response — days 1–6 daily, dose 4MedDRA: Dry mouth, Thirst — Feeling: Good · Site: ItchingFree text: Very thirsty, dry mouthMedDRA releases: 2024-11 · check-in free text available
- 2022-08-02
- 2022-08-05
- 2022-08-10
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2022-08-17
Survey response — day 21, dose 4MedDRA: Pruritus — Feeling: FairFree text: Itchy handsMedDRA releases: 2024-11 · check-in free text available
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2022-08-26
Survey response — day 28, dose 4MedDRA: Pruritus — Feeling: GoodFree text: Itching on hands and feetMedDRA releases: 2024-11 · check-in free text available
- 2022-08-31
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2022-09-09
Survey response — day 42, dose 4MedDRA: Flushing, Lung disorder, Pruritus — Feeling: FairFree text: Intermittent flushing, but no fever Itching under skin on hands and around ankles Feeling of dryness in lungsMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Dose 5 — Moderna
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2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2022-10-24
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-25
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2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2022-10-27
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2022-10-28
Health check-in — day 7, dose 5Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-11-06
Survey response — day 14, dose 5MedDRA: Nausea — Feeling: FairFree text: Nausea Not preventing activities, but definitely affectingMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — day 21, dose 5MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-11-25
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2022-12-02
Survey response — day 42, dose 5MedDRA: Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: NauseaMedDRA releases: 2024-11 · check-in free text available
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2023-01-20
Survey response — 3 months, dose 5MedDRA: Bronchitis, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-01-20
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2023-01-23
Call successfulNot applicable - Accidental Reporting
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2023-01-23
Call successfulNot applicable - Accidental Reporting
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-07-27 | Moderna | No |
| 5 | 2022-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-06 | Successful 2023-01-23 |
Not applicable - Accidental Reporting |
| 2023-01-20 | Successful 2023-01-23 |
Not applicable - Accidental Reporting |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Ear ache, throat tightness
Systemic reaction (other): swollen throat; it's allergy season, so hard to know what's causing
Systemic reaction (other): Sore throat, ear left side
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore thtist
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): After yesterday's report I felt feverish
Release 6 — day 14, dose 2
Symptoms: NauseaElevated blood pressure Not sure if this is related to vaccineRash .. a few new spotsFatigue
Release 6 — day 21, dose 2
Symptoms: Shallow breathing
Release 8 — 3 months, dose 2
Symptoms: Diverticulitis, which has no relation to my COVID vaccination. In general, I remain pleased and thankful to have received the vaccination.
Release 9 — 6 months, dose 2
Symptoms: Felt feverish a few days
Release 10 — day 14, dose 3
Symptoms: Chills
Release 10 — day 28, dose 3
Symptoms: Dryness in chest / lungs
Release 10 — day 42, dose 3
Symptoms: Rapid and heavy heartbeat
Release 11 — 6 months, dose 3
Symptoms: Misc, nothing serious
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Soreness in arm muscle around injection site
Systemic reaction (other): Dry mouth (but it's been 100+ in (b)(6) this entire month)
redacted (b)(6)
Systemic reaction (other): Swolen, concentrated patch above interior of left ankle that has been very itchy since yesterday
Systemic reaction (other): Very thirsty, dry mouth
Release 12 — day 21, dose 4
Symptoms: Itchy hands
Release 12 — day 28, dose 4
Symptoms: Itching on hands and feet
Release 12 — day 42, dose 4
Symptoms: Intermittent flushing, but no fever Itching under skin on hands and around ankles Feeling of dryness in lungs
Release 12 — day 14, dose 5
Symptoms: Nausea Not preventing activities, but definitely affecting
Release 12 — day 21, dose 5
Symptoms: Diarrhea
Release 12 — day 42, dose 5
Symptoms: Nausea
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Diverticulitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flushing | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypopnoea | ✓ | ✓ | ✓ |
| SD | Lung disorder | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract irritation | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Thirst | · | · | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release