2H6-21750-42073
3 vaccinations
8 coded responses
24 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 895 / NV
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-16
- 2021-01-21
-
2021-01-28
Dose 2 — Moderna
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Dizziness, Pain, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I didnt get a prompt to report yesterday. I had up to 101 fever, severe body aches, and loss of appetite. I have loss of appetite and mild dizziness today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: As an aside, I had a rash in the same spot 1 week after my last doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-11
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 21, dose 2MedDRA: Oral herpes — Feeling: GoodFree text: I developed 2 cold sores. I get them very rarely, and only get cold sores when Im sick. Im not currently sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
-
2021-03-04
Survey response — day 35, dose 2MedDRA: Malaise — Feeling: FairFree text: Felt like I was getting sick for a few days, but better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-04-29
-
2021-07-29
Survey response — 6 months, dose 2MedDRA: Asthma, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Congestion and mild asthma due to unhealthy air quality. I tested negative for COVID.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-31
Dose 3 — Pfizer-BioNTech
-
2022-01-28
Survey response — 12 months, dose 2MedDRA: Exposure to SARS-CoV-2, Malaise, SARS-CoV-2 test negative — Feeling: GoodFree text: Felt like I was fighting off low grade COVID symptoms several times after exposure, but I never tested positiveMedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
-
2022-12-31
Survey response — 12 months, dose 3MedDRA: Anaphylactic reaction, Exposure to SARS-CoV-2, Hypersensitivity, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Worsening allergies followed COVID vaccine. First Anaphylaxis ever. I've never tested positive for COVID despite repeated, significant exposures. So, no COVID but now I carry an Epi pen.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-31
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-03
-
2023-01-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna | |
| 3 | 2021-12-31 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt get a prompt to report yesterday. I had up to 101 fever, severe body aches, and loss of appetite. I have loss of appetite and mild dizziness today.
Systemic reaction (other): As an aside, I had a rash in the same spot 1 week after my last dose
Release 4 — day 14, dose 2
Symptoms: Tired
Release 4 — day 21, dose 2
Symptoms: I developed 2 cold sores. I get them very rarely, and only get cold sores when Im sick. Im not currently sick.
Release 5 — day 35, dose 2
Symptoms: Felt like I was getting sick for a few days, but better today.
Release 9 — 6 months, dose 2
Symptoms: Congestion and mild asthma due to unhealthy air quality. I tested negative for COVID.
Release 11 — 12 months, dose 2
Symptoms: Felt like I was fighting off low grade COVID symptoms several times after exposure, but I never tested positive
Release 12 — 12 months, dose 3
Symptoms: Worsening allergies followed COVID vaccine. First Anaphylaxis ever. I've never tested positive for COVID despite repeated, significant exposures. So, no COVID but now I carry an Epi pen.
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 | Anaphylactic reaction | · | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release