2EC-24464-05746
3 vaccinations
4 coded responses
33 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 900 / CA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Registered dependents
U93-24322-67416
Child or adolescent in my care · Male · 2021-11-17
Timeline
-
2021-03-30
Registered in v-safe
-
2021-04-03
Dose 1 — Moderna
- 2021-04-03
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
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2021-04-17
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Itchiness and redness at injection site. Started 7 days post vaccination and lasted roughly 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 21, dose 1MedDRA: Paraesthesia oral — Feeling: FairFree text: The tip of my tongue tingles every so oftenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Dose 2 — Moderna
-
2021-05-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-05
- 2021-05-08
- 2021-05-17
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-07-31
- 2021-10-30
-
2021-11-15
Dose 3 — Moderna
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, DiarrheaAdult check-in
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, NauseaAdult check-in
- 2021-11-21
- 2021-11-22
- 2021-11-29
-
2021-12-07
Survey response — day 21, dose 3MedDRA: Lethargy, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lethargic and nauseousMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-20
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2022-02-14
Survey response — 3 months, dose 3MedDRA: Cough, Headache — 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 · Telehealth, virtual health, or email health consultationFree text: Persistent cough and headacheMedDRA releases: 2024-11 · check-in free text available
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2022-02-14
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-15
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-03 | Moderna | |
| 2 | 2021-05-01 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-14 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Itchiness and redness at injection site. Started 7 days post vaccination and lasted roughly 24 hours
Release 7 — day 21, dose 1
Symptoms: The tip of my tongue tingles every so often
Release 10 — day 21, dose 3
Symptoms: Lethargic and nauseous
Release 11 — 3 months, dose 3
Symptoms: Persistent cough and headache
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 | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Paraesthesia oral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release