ZPR-22889-61865
4 vaccinations
9 coded responses
37 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Sleep disorder, Vomiting — Feeling: Fair · HeadacheFree text: Last night around 8:00 I had vomiting. Bad leg cramps all night long keeping me awake most of the night. Am doing ok today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-02
Dose 2 — Moderna
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-05-04
Survey response — 3 months, dose 2MedDRA: Folliculitis, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Folliculitis left arm · Healthcare visit (other): Physicians officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-03
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: FairFree text: LightheadnessMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-12
Dose 3 — Moderna
- 2022-02-02
-
2022-04-29
Dose 4 — Moderna
- 2022-04-29
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Muscle or body achesAdult check-in
- 2022-05-01
- 2022-05-02
-
2022-05-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-03
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal discomfort — Feeling: Fair · Muscle or body achesFree text: Stomach has felt unsettled.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
- 2022-05-06
-
2022-05-13
Survey response — day 14, dose 4MedDRA: Abdominal discomfort, Decreased appetite, Vomiting — Feeling: PoorFree text: No appetite. Nothing sounds good. Not necessarily nausea but stomach feels unsettled. Did have some vomiting after dinner tonight. Just had 1/2 baked potato.MedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — day 21, dose 4MedDRA: Decreased appetite, Fatigue — Feeling: FairFree text: Increased fatigue, increased loss of appetite.MedDRA releases: 2024-11 · check-in free text available
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2022-05-29
Survey response — day 28, dose 4MedDRA: Abdominal discomfort, Fatigue, Nausea — Feeling: FairFree text: Fatigue continues. Maybe improved a little. However stomach still seems to be in bit of a turmoil. Nausea still present.MedDRA releases: 2024-11 · check-in free text available
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2022-06-04
Survey response — day 35, dose 4MedDRA: Condition aggravated, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continuing to have increase in embedded cysts in upper and lower eyelids. I do have a history of these rarely appearing but since my last booster have had multiple cysts requiring medical treatment. ??could these infections be caused by the boosters? · Healthcare visit (other): Physicians officeMedDRA releases: 2024-11 · check-in free text available
-
2022-06-04
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-06
- 2022-06-06
-
2022-06-09
Call successfulDoes not wish to fill out VAERS report
- 2022-06-10
-
2022-07-29
Survey response — 3 months, dose 4MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Nausea, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Husband has Covid this week. I have tested negative twice. Only having short spells of nausea, sore throat, headache, and fatigue. No fever. These spells has just occurred twice and don't last for over a couple of hours. Goes as fast as it comes.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-04 | Successful 2022-05-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-06-04 | Successful 2022-06-09 |
Does not wish to fill out VAERS report |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Last night around 8:00 I had vomiting. Bad leg cramps all night long keeping me awake most of the night. Am doing ok today.
Release 8 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: Lightheadness
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Stomach has felt unsettled.
Release 11 — day 14, dose 4
Symptoms: No appetite. Nothing sounds good. Not necessarily nausea but stomach feels unsettled. Did have some vomiting after dinner tonight. Just had 1/2 baked potato.
Release 11 — day 21, dose 4
Symptoms: Increased fatigue, increased loss of appetite.
Release 11 — day 28, dose 4
Symptoms: Fatigue continues. Maybe improved a little. However stomach still seems to be in bit of a turmoil. Nausea still present.
Release 11 — day 35, dose 4
Symptoms: Continuing to have increase in embedded cysts in upper and lower eyelids. I do have a history of these rarely appearing but since my last booster have had multiple cysts requiring medical treatment. ??could these infections be caused by the boosters? cut off by CDC
Healthcare visit (other): Physicians office
Release 12 — 3 months, dose 4
Symptoms: Husband has Covid this week. I have tested negative twice. Only having short spells of nausea, sore throat, headache, and fatigue. No fever. These spells has just occurred twice and don't last for over a couple of hours. Goes as fast as it comes.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Folliculitis | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release