2AW-23104-48339
4 vaccinations
5 coded responses
17 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 287 / NC
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: FairFree text: Swelling, pain and itching of right arm after first COVID vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Fever · Fatigue or tirednessAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: ItchingFree text: I feel great! Only one day was really bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-03
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Asthenia, Bronchitis, Cough, Fatigue, Respiratory tract congestion — Feeling: Fair · 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: Cough, congestion, bronchitis, tiredness, low energyMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2021-10-20
Dose 3 — Moderna
-
2022-04-14
Dose 4 — Moderna
- 2022-04-29
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
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2022-07-16
Survey response — 3 months, dose 4MedDRA: Cough, Dyspnoea, Malaise, Oxygen saturation decreased, Respiratory tract congestion, SARS-CoV-2 test negative — 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: First of all, I can't remember how long ago I gave you a status, so I will put dates. evening of 6/29/22, I felt sick, mostly congestion/cough. 6/30 I tested myself, negative on COVID. 71-7/3, my O2 level was 92 and couldn't get get a deep breath.MedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Report sent to call center — 3 months, dose 4Be 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)
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2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-14
Survey response — 12 months, dose 4MedDRA: Anxiety, Stress — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-20 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 14, dose 1
Symptoms: Swelling, pain and itching of right arm after first COVID vaccination
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I feel great! Only one day was really bad.
Release 9 — 6 months, dose 2
Symptoms: Cough, congestion, bronchitis, tiredness, low energy
Release 12 — 3 months, dose 4
Symptoms: First of all, I can't remember how long ago I gave you a status, so I will put dates. evening of 6/29/22, I felt sick, mostly congestion/cough. 6/30 I tested myself, negative on COVID. 71-7/3, my O2 level was 92 and couldn't get get a deep breath.
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 | Asthenia | ✓ | · | ✓ |
| SD | Bronchitis | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release