YRQ-31343-73904
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 797 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-19
- 2021-01-21
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Pruritus, Rash pruritic — Feeling: GoodFree text: Itching mild rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — day 21, dose 1MedDRA: Emergency care, Fatigue, Feeling abnormal, Nasopharyngitis, Pneumonia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I was extremely fatigued the day after the shot and struggled to feel back to normal for the next two weeks. Developed a cold, which I havent had in years and went to ER with pneumonia(never had before) did the covid vaccine cause my immune systemMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-17
-
2022-01-15
Survey response — 12 months, dose 1MedDRA: Immune system disorder, Malaise, Office visit, Pneumonia, Respiratory tract infection viral — 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 visit, Emergency room or emergency department visitFree text: Symptoms: Currently have pneumonia again and I have been unable to fight off respiratory virus's for one year now since I got the toxic tainted version of moderna last January. Never got sick before, not even colds, now slick constantly. It ruined my immune · Healthcare visit (other): Doctor officeMedDRA releases: 2024-11 · check-in free text available
-
2022-01-15
Report sent to call center — 12 months, dose 1Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-01-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-06 | Successful | Completed over the phone |
| 2022-01-15 | Successful | Completed over the phone |
Free text
Release 3 — day 14, dose 1
Symptoms: Itching mild rash
Release 3 — day 21, dose 1
Symptoms: I was extremely fatigued the day after the shot and struggled to feel back to normal for the next two weeks. Developed a cold, which I havent had in years and went to ER with pneumonia(never had before) did the covid vaccine cause my immune system
Release 10 — 12 months, dose 1
Symptoms: Currently have pneumonia again and I have been unable to fight off respiratory virus's for one year now since I got the toxic tainted version of moderna last January. Never got sick before, not even colds, now slick constantly. It ruined my immune cut off by CDC
Healthcare visit (other): Doctor office
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release