2AU-14671-72781
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 506 / IA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-01-19
Registered in v-safe
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Pain, Pruritus, Pyrexia — Feeling: Good · Site: Pain, Itching · Be unable to do your normal daily activitiesFree text: I had itching all over within 2 hours of the shot. I had body aches, chills and fever 18 hours after receiving my shot. This lasted for 10 hours. I then had it again another day which lasted 4 hours. The itching still lasts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 7, dose 1MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Site: Pain, ItchingFree text: Please address my initial symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Itching all over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain · Muscle or body achesFree text: ItchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: GoodFree text: Itching no rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Itching all overMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-06
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-05-15
- 2021-08-12
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2022-02-11
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · 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 again in January.MedDRA releases: 2024-11 · check-in free text available
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2022-02-11
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-11 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had itching all over within 2 hours of the shot. I had body aches, chills and fever 18 hours after receiving my shot. This lasted for 10 hours. I then had it again another day which lasted 4 hours. The itching still lasts.
Release 2 — day 7, dose 1
Systemic reaction (other): Please address my initial symptoms.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Itching all over.
Systemic reaction (other): Itching
Systemic reaction (other): Itching no rash
Release 4 — day 7, dose 2
Systemic reaction (other): Itching all over
Release 11 — 12 months, dose 2
Symptoms: I had Covid again in January.
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 | · | · | ✓ |
| SRO | Adverse reaction | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release