YQD-49159-83692
2 vaccinations
13 coded responses
18 check-ins
13 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 900 / CA
- Registered
- 2022-01-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-12-29
Dose 1 — Moderna
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2022-01-01
Registered in v-safe
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2022-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain, Post-traumatic neuralgia, Respiratory tract congestion, Rhinorrhoea, Sneezing, Tinnitus — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: tinnitus, postherpetic neuralgia, runny nose, sneezingm sore throat, congestionMedDRA releases: 2024-11 · check-in free text available
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2022-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Post herpetic neuralgia — Feeling: Good · Site: PainFree text: Postherpetic neuralgia, muscle spasmsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-03
- 2022-01-04
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2022-01-05
Survey response — day 7, dose 1MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: PainFree text: Kicked up dormant fibromyalgia symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-12
- 2022-01-20
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2022-01-26
Survey response — day 28, dose 1MedDRA: Condition aggravated, Post herpetic neuralgia, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rheumatoid arthritis flareup, fibromyalgia flareup, post herpetic neuralgiaMedDRA releases: 2024-11 · check-in free text available
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2022-01-30
Dose 2 — Moderna
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2022-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Post herpetic neuralgia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Post herpetic neuralgia, insomniaMedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint painsAdult check-in
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2022-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Post herpetic neuralgia — Feeling: Good · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Post herpetic neuralgiaMedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Survey response — day 7, dose 2MedDRA: Post herpetic neuralgia — Feeling: Good · Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: post herpetic neuralgiaMedDRA releases: 2024-11 · check-in free text available
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2022-02-13
Survey response — day 14, dose 2MedDRA: Arthralgia, Body temperature increased, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Pain, Pain in extremity, Rash, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Developed cold like symptoms. Tested negative for covid. Fatigue, stuffy nose, runny nose, sore throat, headache, elevated temp, rash, body and joint aches. Pain in opposite arm from vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Survey response — day 21, dose 2MedDRA: Asthenia, Nasopharyngitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: less energy, feel like a cold is coming on but never doesMedDRA releases: 2024-11 · check-in free text available
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2022-02-20
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-21
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2022-03-03
Survey response — day 28, dose 2MedDRA: Cystitis-like symptom, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Developed symptoms of interstitial cystitis. · Healthcare visit (other): In office specialist visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-03
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-04
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2022-03-06
Survey response — day 35, dose 2MedDRA: Lower urinary tract symptoms, Unevaluable event, Vaginal haemorrhage — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have symptoms of interstitial cystitis and vaginal bleeding. · Healthcare visit (other): Mental health support, medical imaging, urinalysisMedDRA releases: 2024-11 · check-in free text available
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2022-03-06
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-08
- 2022-03-11
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2022-03-13
Survey response — day 42, dose 2MedDRA: Cystitis interstitial — Feeling: Fair · 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: persistent symptoms of interstitial cystitisMedDRA releases: 2024-11 · check-in free text available
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2022-03-13
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-16
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2022-05-01
Survey response — 3 months, dose 2MedDRA: Anogenital warts, Anxiety, Arthralgia, Axillary pain, Brain fog, Chest pain, Cystitis interstitial, Depression, Dyspnoea, Fatigue, Inflammation, Malaise, Musculoskeletal chest pain, Myalgia, Nausea, Neuralgia, Night sweats, Papilloma viral infection, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Chest pains, rib pains, feel like I can't breath, interstitial cystitis, HPV, genital warts Feeling feverish, Malaise, Fatigue, arthralgia, neuralgia, myalgia, pain in Armpits, nausea, night sweats, symptoms of PMR, brain fog, anxiety, depression,MedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-12-29 | Moderna | No |
| 2 | 2022-01-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-20 | Unsuccessful | |
| 2022-03-03 | Unsuccessful | |
| 2022-03-06 | Unsuccessful | |
| 2022-03-13 | Unsuccessful | |
| 2022-05-01 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): tinnitus, postherpetic neuralgia, runny nose, sneezingm sore throat, congestion
Systemic reaction (other): Postherpetic neuralgia, muscle spasms
Release 10 — day 7, dose 1
Systemic reaction (other): Kicked up dormant fibromyalgia symptoms
Release 11 — day 28, dose 1
Symptoms: Rheumatoid arthritis flareup, fibromyalgia flareup, post herpetic neuralgia
Release 11 — days 1–6 daily, dose 2
Systemic reaction (other): Post herpetic neuralgia, insomnia
Systemic reaction (other): Post herpetic neuralgia
Release 11 — day 7, dose 2
Systemic reaction (other): post herpetic neuralgia
Release 11 — day 14, dose 2
Symptoms: Developed cold like symptoms. Tested negative for covid. Fatigue, stuffy nose, runny nose, sore throat, headache, elevated temp, rash, body and joint aches. Pain in opposite arm from vaccine.
Release 11 — day 21, dose 2
Symptoms: less energy, feel like a cold is coming on but never does
Release 11 — day 28, dose 2
Symptoms: Developed symptoms of interstitial cystitis.
Healthcare visit (other): In office specialist visit
Release 11 — day 35, dose 2
Symptoms: I have symptoms of interstitial cystitis and vaginal bleeding.
Healthcare visit (other): Mental health support, medical imaging, urinalysis
Release 11 — day 42, dose 2
Symptoms: persistent symptoms of interstitial cystitis
Release 11 — 3 months, dose 2
Symptoms: Chest pains, rib pains, feel like I can't breath, interstitial cystitis, HPV, genital warts Feeling feverish, Malaise, Fatigue, arthralgia, neuralgia, myalgia, pain in Armpits, nausea, night sweats, symptoms of PMR, brain fog, anxiety, depression,
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Anogenital warts | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cystitis interstitial | · | · | ✓ |
| SD | Cystitis-like symptom | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Lower urinary tract symptoms | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Musculoskeletal chest pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Papilloma viral infection | · | · | ✓ |
| SD | Post herpetic neuralgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Post herpetic neuralgia | · | · | ✓ |
| SRO | Post-traumatic neuralgia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release