2AT-88863-08225
4 vaccinations
7 coded responses
36 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 835 / ID
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Injection site pain, Peripheral swelling — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: The tiredness was last night, my left hand woke me up early am, felt swollen and sore, arm is tender at the shot site, feel good nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
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2021-01-29
Survey response — day 7, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: The pain at the shot site started in the middle of the night, woke me up, was sore all morning, mid afternoon it is now a tender spot,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: GoodFree text: 1 week exactly, I woke to a red, hot, swollen shot site. It lasted 3 days, and has been red, swollen and warm for a week, nurse said to come in on Monday if it stayed this wayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — day 21, dose 1MedDRA: Headache, Nausea — Feeling: GoodFree text: I have had headaches and some nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good · Site: Pain, Redness, SwellingFree text: Shot site has a burning sensation, shot arm throbs to my fingers, I had this worse on the day of both shots, just didnt think much about itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-05-19
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Pain in my thumbs, but it is degenerative arthritis · Healthcare visit (other): My doctor, and Arthritis specialistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-18
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2021-11-15
Dose 3 — Moderna
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2022-02-11
Call successfulDoes not wish to fill out VAERS report
- 2022-02-17
- 2022-02-17
-
2022-05-03
Dose 4 — Moderna
- 2022-05-15
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-16
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2022-08-02
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Dyspnoea, Fatigue, Rhinorrhoea, Sinus congestion — 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 visitFree text: I had Covid last week, I have a lingering cough, some shortness of breath and sinus congestion with nasal drip, I tire easilyMedDRA releases: 2024-11 · check-in free text available
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2022-08-02
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
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2022-08-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-01
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The tiredness was last night, my left hand woke me up early am, felt swollen and sore, arm is tender at the shot site, feel good now
Release 3 — day 7, dose 1
Systemic reaction (other): The pain at the shot site started in the middle of the night, woke me up, was sore all morning, mid afternoon it is now a tender spot,
Release 3 — day 14, dose 1
Symptoms: 1 week exactly, I woke to a red, hot, swollen shot site. It lasted 3 days, and has been red, swollen and warm for a week, nurse said to come in on Monday if it stayed this way
Release 4 — day 21, dose 1
Symptoms: I have had headaches and some nausea
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Shot site has a burning sensation, shot arm throbs to my fingers, I had this worse on the day of both shots, just didnt think much about it
Release 8 — 3 months, dose 2
Symptoms: Pain in my thumbs, but it is degenerative arthritis
Healthcare visit (other): My doctor, and Arthritis specialist
Release 12 — 3 months, dose 4
Symptoms: I had Covid last week, I have a lingering cough, some shortness of breath and sinus congestion with nasal drip, I tire easily
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release