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2CQ-20557-74052

4 vaccinations 11 coded responses 46 check-ins 10 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
112 / NY
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-08
    Registered in v-safe
  2. 2021-01-08
    Dose 1 — Moderna
  3. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Night sweats — Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Last night I had a flop sweat when sleeping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Headache, Malaise, Myalgia, Oropharyngeal pain, Peripheral swelling, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: 1-16 I woke up feeling sick. Fever, sore throat, congestion, fatigue, headache, muscle aches. My arm that had received the vaccine also swelled back up.I had a fever until Tuesday. Still feeling not 100%I had negative C-19 tests 01/18 and 1/20.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-22
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-05
    Survey response — day 0, dose 2
    MedDRA: Injection site discolouration, Injection site swelling, Paraesthesia — Feeling: Good
    Free text: I just got the 2nd shot two hours ago. A few minutes after, my hands felt a little tingly. It later went away. I got the 2nd shot in my opposite arm from the first as the first is still discolored where it swelled.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness
    Adult check-in
  16. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  17. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flushing — Feeling: Good · Site: Pain, Redness · Fever · Fatigue or tiredness
    Free text: I know I don't have a fever, I just feel that flush inside like you do sometimes with a fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sinus infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-05
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-24
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact
  27. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-05
    Dose 3 — Moderna
    Co-administered: Flu
  29. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  30. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection site
    Adult check-in
  34. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection site
    Free text: Congestion/ runny nose
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-11
    Survey response — days 1–6 daily, dose 3
    MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Site: Redness, Swelling
    Free text: Runny nose, congestion
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-14
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  37. 2021-11-19
    Survey response — day 14, dose 3
    MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school
    Free text: I have cold symptoms. Took a rapid covid test, negative. Cough, runny nose, congestion, headache, fatigue.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-03
    Survey response — day 28, dose 3
    MedDRA: Headache, Respiratory tract congestion — Feeling: Good
    Free text: Congestion, headache
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-10
    Survey response — day 35, dose 3
    MedDRA: Body temperature increased, Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Congestion Runny nose Headache Elevated temperature
    MedDRA releases: 2024-11 · check-in free text available
  41. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-10-08
    Dose 4 — Moderna
    Co-administered: Flu
  45. 2022-10-13
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  46. 2022-10-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  47. 2022-10-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-10-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-10-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-11-07
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-11-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-11-21
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-01-09
    Survey response — 3 months, dose 4
    MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    MedDRA releases: 2024-11
  54. 2023-04-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-11-05Moderna Flu
42022-10-08Moderna Flu

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Last night I had a flop sweat when sleeping

Release 2 — day 14, dose 1

2021-01-22

Symptoms: 1-16 I woke up feeling sick. Fever, sore throat, congestion, fatigue, headache, muscle aches. My arm that had received the vaccine also swelled back up.I had a fever until Tuesday. Still feeling not 100%I had negative C-19 tests 01/18 and 1/20.

Release 3 — day 0, dose 2

2021-02-05

Systemic reaction (other): I just got the 2nd shot two hours ago. A few minutes after, my hands felt a little tingly. It later went away. I got the 2nd shot in my opposite arm from the first as the first is still discolored where it swelled.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): I know I don't have a fever, I just feel that flush inside like you do sometimes with a fever

Release 5 — day 28, dose 2

2021-03-05

Symptoms: Sinus infection

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Congestion/ runny nose

2021-11-11

Systemic reaction (other): Runny nose, congestion

Release 10 — day 14, dose 3

2021-11-19

Symptoms: I have cold symptoms. Took a rapid covid test, negative. Cough, runny nose, congestion, headache, fatigue.

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Congestion, headache

Release 10 — day 35, dose 3

2021-12-10

Symptoms: Congestion Runny nose Headache Elevated temperature

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

FieldPreferred term2021-092023-042024-11
SDBody temperature increased · · ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza · · ✓
SDMalaise ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROHyperhidrosis ○ ○ ○
SROInjection site discolouration ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORespiratory tract congestion · · ✓
SRORhinorrhoea · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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