23P-32752-44743
5 vaccinations
10 coded responses
37 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 150 / PA
- 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
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Palpitations — Feeling: Fair · HeadacheFree text: Yesterday and today palpitations and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 42, dose 2MedDRA: Blood pressure increased, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Increases blood pressure · Healthcare visit (other): Talked on phoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
-
2021-09-14
Dose 3 — ModernaCo-administered: Flu
-
2021-10-25
Survey response — day 35, dose 3MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea since mid-late SeptemberMedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Survey response — day 42, dose 3MedDRA: Diarrhoea, Medical counselling, Self-medication — 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: Diarrhea off and on since shortly after third vaccine. I take Imodium to stop it but it comes back. Going to have a stool culture done. Talked to the doc yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Report sent to call center — day 42, dose 3Be 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)
-
2021-10-29
Call successfulCompleted over the phone
- 2021-12-14
-
2022-02-17
Dose 4 — Moderna
- 2022-03-15
-
2022-05-19
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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: Had Covid three weeks agoMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — 3 months, dose 4Be 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)
- 2022-05-20
- 2022-05-20
- 2022-05-20
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2022-05-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-08-18
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2022-10-11
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-19
- 2022-10-25
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2022-11-01
Survey response — day 21, dose 5MedDRA: Femur fracture, Limb operation, Lower limb fracture — 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 · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Broken right leg with two surgeries · Healthcare visit (other): Spiral tibia fibia fracture and femur fractureMedDRA releases: 2024-11 · check-in free text available
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2022-11-01
Report sent to call center — day 21, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2022-11-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-08
- 2022-11-15
- 2022-11-22
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2023-01-10
Survey response — 3 months, dose 5MedDRA: Fall, Femur fracture, Tibia fracture — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-12
Survey response — 6 months, dose 5MedDRA: Pneumonia — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-12
Report sent to call center — 6 months, dose 5Be 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)
-
2023-04-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-09-14 | Moderna | Flu |
| 4 | 2022-02-17 | Moderna | No |
| 5 | 2022-10-11 | Pfizer-BioNTech | Flu |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
2 waits over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Lightheaded
Systemic reaction (other): Yesterday and today palpitations and dizziness
Release 5 — day 42, dose 2
Release 8 — 3 months, dose 2
Symptoms: Headaches
Release 10 — day 35, dose 3
Symptoms: Diarrhea since mid-late September
Release 10 — day 42, dose 3
Symptoms: Diarrhea off and on since shortly after third vaccine. I take Imodium to stop it but it comes back. Going to have a stool culture done. Talked to the doc yesterday.
Release 11 — 3 months, dose 4
Symptoms: Had Covid three weeks ago
Release 12 — day 21, dose 5
Symptoms: Broken right leg with two surgeries
Healthcare visit (other): Spiral tibia fibia fracture and femur fracture
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 | Femur fracture | · | · | ✓ |
| HCVO | Lower limb fracture | · | · | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Femur fracture | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Limb operation | · | · | ✓ |
| SD | Lower limb fracture | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Tibia fracture | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release