2HC-30129-71511
3 vaccinations
15 coded responses
33 check-ins
15 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 496 / MI
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-20
Registered in v-safe
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2021-03-20
Dose 1 — Moderna
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain · HeadacheFree text: I was slightly nauseous through the night but never vomited and feel fine todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Cough — Feeling: GoodFree text: A little cough started today which is weird but its not badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
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2021-03-27
Survey response — day 7, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: No just tired todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 14, dose 1MedDRA: Cough, Feeling abnormal, Headache, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test, Sneezing — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Fever 101.4 headache cough runny nose sneezing body aches I had a Covid test Friday I think I just have caught a cold while I feel poor Im better today than yesterday and no fever todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-10
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2021-04-17
Dose 2 — Moderna
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2021-04-17
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: It was just 5 hours ago I received my 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling · HeadacheFree text: No doing better tidayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Pruritus, Swelling — Feeling: Good · Site: Redness, Swelling, ItchingFree text: I have the redness itching and swelling at the last check in but I forgot to write it down here and tell you about it so Im just adding it today it doesnt hurt or anything its just got a big red spot its a little swollen and it itchesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Medical counselling — Feeling: Good · Site: Redness, Swelling, ItchingFree text: My niece is an infectious disease physician and she told me to ice my arm otherwise doing greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
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2021-05-08
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
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2021-05-22
Survey response — day 35, dose 2MedDRA: Cough, Fatigue, Headache, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Cough, chest wheezing headache tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-22
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-30
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2021-06-18
Call successfulParticipant prefers to complete VAERS report online
- 2021-07-17
- 2021-10-18
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2022-04-17
Survey response — 12 months, dose 2MedDRA: Asthma, Bronchitis, Cough, Headache, Office visit, Pain, Pyrexia, Rhinorrhoea, Wheezing — 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: Symptoms: Over the last year I have had recurrent symptoms of coughing wheezing body aches constant runny nose and headache and fever My PCP referred me to an asthma and allergy specialist in an immunologist feeling that he kept diagnosing me with bronchitis · Healthcare visit (other): PCP and asthma/ asthma specialist / immunologistMedDRA releases: 2024-11 · check-in free text available
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2022-04-17
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)
- 2022-04-19
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2022-04-19
Callback requested for03:00PM ET
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2022-04-19
Call successfulCompleted over the phone
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2022-04-22
Dose 3 — Moderna
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2022-05-01
Survey response — day 7, dose 3MedDRA: Contusion, Erythema, Induration, Peripheral swelling, Pruritus — Feeling: Good · Fatigue or tirednessFree text: The three days following my vaccination my arm was very itchy very very read very very swollen and bruised and it felt hard but after that it went away no other symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-20
- 2022-05-27
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2022-06-03
Survey response — day 42, dose 3MedDRA: Cough, Headache — Feeling: GoodFree text: Developed a cough and headache But my daughter and grandkids have coldsMedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Survey response — 3 months, dose 3MedDRA: COVID-19, Malaise, SARS-CoV-2 test negative, SARS-CoV-2 test positive — 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: Covid twice ? I was give Paxlovid I tested negative then 4 days after the paxlovid was done I got sick again and tested positiveMedDRA releases: 2024-11 · check-in free text available
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2022-07-22
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-25
- 2022-07-25
- 2022-07-25
- 2022-07-25
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2022-10-21
Survey response — 6 months, dose 3MedDRA: Arthritis, COVID-19, Pre-existing disease — Feeling: Fair · 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: I had Covid and my Arthritis is worseMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-10-24
Call successfulNot applicable - Accidental Reporting
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2022-10-24
Call successfulNot applicable - Accidental Reporting
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2022-04-22 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 1
2 waits over 3 months for a first call
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I was slightly nauseous through the night but never vomited and feel fine today
Systemic reaction (other): A little cough started today which is weird but its not bad
Release 6 — day 7, dose 1
Systemic reaction (other): No just tired today
Release 6 — day 14, dose 1
Symptoms: Fever 101.4 headache cough runny nose sneezing body aches I had a Covid test Friday I think I just have caught a cold while I feel poor Im better today than yesterday and no fever today
Release 7 — day 0, dose 2
Systemic reaction (other): It was just 5 hours ago I received my 2nd dose
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): No doing better tiday
Systemic reaction (other): I have the redness itching and swelling at the last check in but I forgot to write it down here and tell you about it so Im just adding it today it doesnt hurt or anything its just got a big red spot its a little swollen and it itches
Systemic reaction (other): My niece is an infectious disease physician and she told me to ice my arm otherwise doing great
Release 8 — day 21, dose 2
Symptoms: Headache
Release 8 — day 35, dose 2
Symptoms: Cough, chest wheezing headache tired
Release 11 — 12 months, dose 2
Symptoms: Over the last year I have had recurrent symptoms of coughing wheezing body aches constant runny nose and headache and fever My PCP referred me to an asthma and allergy specialist in an immunologist feeling that he kept diagnosing me with bronchitis cut off by CDC
Healthcare visit (other): PCP and asthma/ asthma specialist / immunologist
Release 11 — day 7, dose 3
Systemic reaction (other): The three days following my vaccination my arm was very itchy very very read very very swollen and bruised and it felt hard but after that it went away no other symptoms
Release 11 — day 42, dose 3
Symptoms: Developed a cough and headache But my daughter and grandkids have colds
Release 12 — 3 months, dose 3
Symptoms: Covid twice ? I was give Paxlovid I tested negative then 4 days after the paxlovid was done I got sick again and tested positive
Release 12 — 6 months, dose 3
Symptoms: I had Covid and my Arthritis is worse
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 |
|---|---|---|---|---|
| HCVO | Asthma | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release