25F-15950-58106
3 vaccinations
3 coded responses
31 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 557 / MN
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-26
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-06-09
- 2021-09-08
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — day 21, dose 3MedDRA: Diarrhoea, Fatigue, Nasal congestion, Oropharyngeal pain, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea, sore throat, nasal stuffiness, fatique. Only had for one day. Rested, took immodium, and cold med. Felt better the next day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Diarrhoea, Nausea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Nausea, vomiting, diarrhea for 3days, then still punk for 2 more days.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Survey response — 12 months, dose 3MedDRA: COVID-19, Elective surgery, Infection, Malaise, Wound, Wound closure — Feeling: Good · 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: I had Covid the beginning of June. Was sick about a month. Had elective surgery July 20, and it did not go well. Had 2 infections, and an open wound since. Was on a wound vac for 4 weeks, off 10 days, and developed another open area. Now on the snapMedDRA releases: 2024-11 · check-in free text available
-
2022-10-25
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-26
-
2022-10-26
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 21, dose 3
Symptoms: Diarrhea, sore throat, nasal stuffiness, fatique. Only had for one day. Rested, took immodium, and cold med. Felt better the next day.
Release 11 — 6 months, dose 3
Symptoms: Nausea, vomiting, diarrhea for 3days, then still punk for 2 more days.
Release 12 — 12 months, dose 3
Symptoms: I had Covid the beginning of June. Was sick about a month. Had elective surgery July 20, and it did not go well. Had 2 infections, and an open wound since. Was on a wound vac for 4 weeks, off 10 days, and developed another open area. Now on the snap cut off by CDC
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 |
|---|---|---|---|---|
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Elective surgery | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Infection | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SD | Wound | · | · | ✓ |
| SD | Wound closure | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release