ZE2-32056-05768
3 vaccinations
19 coded responses
32 check-ins
19 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 883 / NM
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
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2021-01-07
Dose 1 — Moderna
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2021-01-17
Registered in v-safe
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2021-01-17
Survey response — day 7, dose 1MedDRA: Body temperature increased, Erythema, Headache, Injection site pain, Injection site pruritus, Injection site urticaria, Nausea, Pain in extremity, Peripheral swelling — Feeling: Good · Site: ItchingFree text: I just found out about this app. 12 hours after vaccination I had a severe headache and nausea. Woke up at 0300 on the 8th of January with a temp. of 100.4. Temp and nausea resolved within 32 hours. Minimal pain at injection site, but intense itching and small hives at injection site yesterday, January 17th. Mildly Painful, Swollen, red toes began on January 12.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-28
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2021-02-04
Dose 2 — Moderna
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2021-02-04
Survey response — day 0, dose 2MedDRA: Chills, Injection site pain, Myalgia — Feeling: Fair · Site: Pain · Chills, Muscle or body achesFree text: Just received vaccine at 0945. Have some muscle pains in shoulder & neck on vaccine side, and minor chills which just started a few minutes ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Dry skin, Dry throat, Lip dry — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: very dry lips throat and skin even though i've drank 40 oz of waterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Insomnia — Feeling: Good · Site: Pain, SwellingFree text: Difficulty sleeping, vivid dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 2MedDRA: Headache, Insomnia, Taste disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headaches, taste disturbances and insomnia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 21, dose 2MedDRA: Fatigue, Insomnia — Feeling: GoodFree text: Just very tired, not sleeping well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 28, dose 2MedDRA: Burning sensation, Immunisation reaction, Office visit, Peripheral coldness — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still battling 'CoVid toes'. Went to see my family doc today for the intense burning sensation. It is very similar to mild frostbite, and aggravating as heck. · Healthcare visit (other): Family DoctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — day 35, dose 2MedDRA: Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: heart palpitations · Healthcare visit (other): blood work and cxrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-18
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Pneumonia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: 'early' pneumonia in my left lungMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
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)
- 2021-06-17
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2021-08-05
Survey response — 6 months, dose 2MedDRA: Pyrexia, SARS-CoV-2 test negative, Sputum discoloured, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Nasopharyngeal infection, with yellow mucous production, fever of 101°. Co-vid test negative on Monday Aug 2MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-05
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-16
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2021-08-16
Call successfulCompleted over the phone
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2021-08-16
Call successfulCompleted over the phone
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2021-08-16
Call successfulCompleted over the phone
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2021-08-16
Call successfulCompleted over the phone
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2021-10-29
Dose 3 — Moderna
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2021-10-29
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Just received 3rd shot 30 min ago.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to work or attend schoolAdult check-in
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Site: Swelling · Headache · Be unable to work or attend schoolFree text: I think I have a cold now (not from the vaccine)MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Very congested, left sided pain with dry cough.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Chest pain, Dyspnoea exertional, Tachycardia — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe left sided back pain, sob upon exertion, tachycardia upon exertion & odd chest painsMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-05
Survey response — day 7, dose 3MedDRA: Chest pain, Heart rate irregular, SARS-CoV-2 test negative — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: Right sided chest pain and irregular heart beat. ecg and chest xray done yesterday. I don't think these symptoms are related to vaccine, just incredibly poor timing of some other virus. Also, was CoVid tested yesterday and it was negativeMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Call successfulCompleted over the phone
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2021-11-08
Call successfulCompleted over the phone
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2021-11-12
Survey response — day 14, dose 3MedDRA: Abdominal discomfort — Feeling: FairFree text: Intestinal upsetMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 21, dose 3MedDRA: Arthralgia, Gastrointestinal disorder, Lethargy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Quite lethargic still. Increased gastro symptoms and joint pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
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2021-12-10
Survey response — day 42, dose 3MedDRA: Office visit, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Heart Palpitations · Healthcare visit (other): Catdiologist office visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-01
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2022-10-29
Survey response — 12 months, dose 3MedDRA: Adverse reaction, COVID-19, Pharyngitis streptococcal — Feeling: Fair · Be unable to work or attend school, 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: I caught CoVid, and then caught strep throat immediately after while i was still recovering from CoVid. (I have never had strep throat previously); I have had many health issues since covid.MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
- 2022-11-03
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2022-11-03
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-04 | Successful 2021-08-16 |
Completed over the phone |
| 2021-03-11 | Successful 2021-08-16 |
Completed over the phone |
| 2021-05-08 | Successful 2021-08-16 |
Completed over the phone |
| 2021-08-05 | Successful 2021-08-16 |
Completed over the phone |
| 2021-11-03 | Successful 2021-11-08 |
Completed over the phone |
| 2021-11-04 | Successful 2021-11-08 |
Completed over the phone |
| 2021-12-10 | Successful 2021-12-14 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-10-29 | Successful 2022-11-03 |
Reported to VAERS during previous contact from GDIT |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): I just found out about this app. 12 hours after vaccination I had a severe headache and nausea. Woke up at 0300 on the 8th of January with a temp. of 100.4. Temp and nausea resolved within 32 hours. Minimal pain at injection site, but intense itching and small hives at injection site yesterday, January 17th. Mildly Painful, Swollen, red toes began on January 12.
Release 3 — day 0, dose 2
Systemic reaction (other): Just received vaccine at 0945. Have some muscle pains in shoulder & neck on vaccine side, and minor chills which just started a few minutes ago.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): very dry lips throat and skin even though i've drank 40 oz of water
Systemic reaction (other): Difficulty sleeping, vivid dreams
Release 4 — day 14, dose 2
Symptoms: Headaches, taste disturbances and insomnia.
Release 4 — day 21, dose 2
Symptoms: Just very tired, not sleeping well.
Release 5 — day 28, dose 2
Symptoms: Still battling 'CoVid toes'. Went to see my family doc today for the intense burning sensation. It is very similar to mild frostbite, and aggravating as heck.
Healthcare visit (other): Family Doctor
Release 5 — day 35, dose 2
Release 8 — 3 months, dose 2
Symptoms: 'early' pneumonia in my left lung
Release 9 — 6 months, dose 2
Symptoms: Nasopharyngeal infection, with yellow mucous production, fever of 101°. Co-vid test negative on Monday Aug 2
Release 10 — day 0, dose 3
Systemic reaction (other): Just received 3rd shot 30 min ago.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I think I have a cold now (not from the vaccine)
Systemic reaction (other): Very congested, left sided pain with dry cough.
Systemic reaction (other): Severe left sided back pain, sob upon exertion, tachycardia upon exertion & odd chest pains
Release 10 — day 7, dose 3
Systemic reaction (other): Right sided chest pain and irregular heart beat. ecg and chest xray done yesterday. I don't think these symptoms are related to vaccine, just incredibly poor timing of some other virus. Also, was CoVid tested yesterday and it was negative
Release 10 — day 14, dose 3
Symptoms: Intestinal upset
Release 10 — day 21, dose 3
Symptoms: Quite lethargic still. Increased gastro symptoms and joint pain.
Release 10 — day 42, dose 3
Release 12 — 12 months, dose 3
Symptoms: I caught CoVid, and then caught strep throat immediately after while i was still recovering from CoVid. (I have never had strep throat previously); I have had many health issues since covid.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Peripheral coldness | ✓ | ✓ | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sputum discoloured | ✓ | · | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | ✓ | · | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate irregular | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site urticaria | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lip dry | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Tachycardia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release