28Q-27439-08527
5 vaccinations
5 coded responses
45 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 451 / OH
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
-
2021-03-04
Survey response — day 0, dose 1MedDRA: Pharyngeal swelling — Feeling: FairFree text: Throat felt swollen a little bit about 20 minutes after the shot and last maybe 20 minutes or so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Pharyngeal swelling — Feeling: GoodFree text: Do I need to worry about getting the second shot when the first one made my throat swell slightly for a brief period of time?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Poor quality sleep — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Haven't slept well since the shot. I believe I had sleep issues with the first two shotsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-02-21
Survey response — 3 months, dose 3MedDRA: COVID-19, Fatigue, Joint swelling, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Had Covid, mainly head cold symptoms, joint swelling and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Survey response — 6 months, dose 3MedDRA: Chest discomfort, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: High blood pressure with chest pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-05-24
Call successfulParticipant prefers to complete VAERS report online
-
2022-07-22
Dose 4 — Moderna
-
2022-10-28
Dose 5 — ModernaCo-administered: Flu
- 2022-11-22
- 2022-11-23
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-10-28 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Throat felt swollen a little bit about 20 minutes after the shot and last maybe 20 minutes or so.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Do I need to worry about getting the second shot when the first one made my throat swell slightly for a brief period of time?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Haven't slept well since the shot. I believe I had sleep issues with the first two shots
Release 11 — 3 months, dose 3
Symptoms: Had Covid, mainly head cold symptoms, joint swelling and fatigue
Release 11 — 6 months, dose 3
Symptoms: High blood pressure with chest pressure
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 | Chest discomfort | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release