27L-44026-36255
2 vaccinations
14 coded responses
23 check-ins
14 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 802 / CO
- Registered
- 2021-08-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-27
Registered in v-safe
-
2021-09-03
Dose 1 — Moderna
- 2021-09-03
-
2021-09-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-10
-
2021-09-17
Survey response — day 14, dose 1MedDRA: Cough, Headache, Pain, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · 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 visitFree text: Fever bodyaches headache cough . tested. Positive for covid yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Report sent to call center — day 14, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2021-09-20
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-21
Call successfulDoes not wish to fill out VAERS report
-
2021-09-24
Survey response — day 21, dose 1MedDRA: Diarrhoea, Dyspnoea, Hospitalisation, Oxygen saturation decreased — Feeling: Poor · 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 consultation, Emergency room or emergency department visit, HospitalizationFree text: Diarrahea, SOB, hospitalized, low Oxygen moreMedDRA releases: 2024-11 · check-in free text available
-
2021-09-24
Report sent to call center — day 21, dose 1Be 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-10-17
Dose 2 — Moderna
-
2021-10-19
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-20
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-21
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-24
Survey response — day 7, dose 2MedDRA: Cough — Feeling: Fair · Site: Swelling, Itching · Joint pains, Fatigue or tiredness, DiarrheaFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — day 14, dose 2MedDRA: Tachycardia — 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 visitFree text: Heart/ pulse- tachycardiaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Report sent to call center — day 14, dose 2Be 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 · 1 call case(s)
-
2021-11-04
Call successfulDoes not wish to fill out VAERS report
-
2021-11-07
Survey response — day 21, dose 2MedDRA: Cough, Oropharyngeal pain, Palpitations — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Heart palpations, cough , sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Report sent to call center — day 21, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2021-11-09
Call successfulParticipant prefers to complete VAERS report online
-
2021-11-14
Survey response — day 28, dose 2MedDRA: Dyspnoea, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Short of breath, heath palpationsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-15
-
2021-11-21
Survey response — day 35, dose 2MedDRA: Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Still having palpations with heart monitorMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
- 2021-11-22
- 2021-11-28
- 2022-01-16
-
2022-04-20
Survey response — 6 months, dose 2MedDRA: Moraxella infection, Respiratory disorder — 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: Moraxrilla and other upper respiratory issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Report sent to call center — 6 months, dose 2Be 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)
- 2022-04-22
-
2022-10-17
Survey response — 12 months, dose 2MedDRA: Anxiety, COVID-19, Fatigue, Headache, Oropharyngeal pain, Respiratory disorder — 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: Had Covid again September 28th. I've never been sick this much since before I received these COVID vaccines. I had sore throats, headaches fatigue, anxiety attacks, respiratory issues.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Report sent to call center — 12 months, dose 2Be 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)
- 2022-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-03 | Moderna | No |
| 2 | 2021-10-17 | Moderna | No |
Call center
8 call center cases
4 successful · 4 unsuccessful
Free text
Release 9 — day 14, dose 1
Symptoms: Fever bodyaches headache cough . tested. Positive for covid yesterday
Release 9 — day 21, dose 1
Symptoms: Diarrahea, SOB, hospitalized, low Oxygen more
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Systemic reaction (other): Cough
Release 10 — day 7, dose 2
Systemic reaction (other): Cough
Release 10 — day 14, dose 2
Symptoms: Heart/ pulse- tachycardia
Release 10 — day 21, dose 2
Symptoms: Heart palpations, cough , sore throat
Release 10 — day 28, dose 2
Symptoms: Short of breath, heath palpations
Release 10 — day 35, dose 2
Symptoms: Still having palpations with heart monitor
Release 11 — 6 months, dose 2
Symptoms: Moraxrilla and other upper respiratory issues
Release 12 — 12 months, dose 2
Symptoms: Had Covid again September 28th. I've never been sick this much since before I received these COVID vaccines. I had sore throats, headaches fatigue, anxiety attacks, respiratory issues.
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 | Anxiety | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Moraxella infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release