ZSE-32581-12974
4 vaccinations
8 coded responses
51 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 796 / TX
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-12
Registered in v-safe
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2021-03-12
Dose 1 — Moderna
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2021-03-12
Survey response — day 0, dose 1MedDRA: Asthma, Ventricular extrasystoles — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Mild asthma; benign PVCs (premature ventricular contractions); ESIs (epidural steroid injections for pain management of degenerative lumbar issues); allergic to scopolamine patch, fentanyl, septra/sulfa drugs and MIMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain, ItchingFree text: I had moderate itching on my extremities yesterday, mostly my left hand and wrist. No visible redness, swelling or rash present. I have only experienced mild, intermittent itching on my extremities today. Yesterday it was pretty constant starting a few hours after my injection and lasting late night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: History of mild asthma, allergies, migraine, arthritis, benign cardiac PVCsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-16
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2021-04-23
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feels like a mild cold that began yesterday. Some fatigue, head and nasal congestion, sneezing, runny nose, mild headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-10-08
Dose 3 — ModernaCo-administered: Flu
- 2021-10-08
- 2021-10-08
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2021-10-09
Survey response — days 1–6 daily, dose 3MedDRA: Sensitive skin — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Skin hyper sensitivityMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-10-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-11-14
Survey response — day 35, dose 3MedDRA: Fungal infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fungal armpit infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-16
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2021-11-19
Survey response — day 42, dose 3MedDRA: Fungal skin infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Fungal rash in arm pitMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-23
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2022-01-07
Survey response — 3 months, dose 3MedDRA: Fatigue, Nausea, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Fatigue, nausea · Healthcare visit (other): Primary doctor consultMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-01-10
- 2022-04-09
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2022-09-21
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-21
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-23
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-10-08 | Moderna | Flu |
| 4 | 2022-09-21 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-14 | Unsuccessful | |
| 2021-11-19 | Unsuccessful | |
| 2022-01-07 | Unsuccessful |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Mild asthma; benign PVCs (premature ventricular contractions); ESIs (epidural steroid injections for pain management of degenerative lumbar issues); allergic to scopolamine patch, fentanyl, septra/sulfa drugs and MI
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had moderate itching on my extremities yesterday, mostly my left hand and wrist. No visible redness, swelling or rash present. I have only experienced mild, intermittent itching on my extremities today. Yesterday it was pretty constant starting a few hours after my injection and lasting late night.
Release 7 — day 0, dose 2
Systemic reaction (other): History of mild asthma, allergies, migraine, arthritis, benign cardiac PVCs
Release 7 — day 14, dose 2
Symptoms: Feels like a mild cold that began yesterday. Some fatigue, head and nasal congestion, sneezing, runny nose, mild headache.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Skin hyper sensitivity
Release 10 — day 35, dose 3
Symptoms: Fungal armpit infection
Release 10 — day 42, dose 3
Symptoms: Fungal rash in arm pit
Release 10 — 3 months, dose 3
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Fungal infection | · | · | ✓ |
| SD | Fungal skin infection | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Ventricular extrasystoles | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release