2HV-10313-14828
2 vaccinations
11 coded responses
20 check-ins
11 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 834 / ID
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
- 2021-01-14
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities2 call case(s)
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities2 call case(s)
- 2021-01-17
- 2021-01-18
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2021-02-10
Dose 2 — Moderna
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal distension, Peripheral swelling — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Swelling of legs and abdomenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have swollen lymph nodes under my armpit and down toward the breast. They are very tender.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: Still have a headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever, cough, fatigue and sore throat. Sore throat lasted 4 days. Fever 24 hours. Cough and fatigue continue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 28, dose 2MedDRA: Cough, Fatigue, Headache, Rhinorrhoea — 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 consultationFree text: Cough, head ache, fatigue, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-17
Survey response — day 35, dose 2MedDRA: Cough, Sinusitis — 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: Sinus infection and cough with IM antibioticsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-24
Survey response — day 42, dose 2MedDRA: Injection, Sinusitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus infection and IM shots for treatmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — 3 months, dose 2MedDRA: Sinusitis — Feeling: Fair · Be unable to work, 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: Respiratory infection with sinusitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-24
Callback requested for05:30PM ET
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2021-06-24
Callback requested for05:30PM ET
- 2021-06-24
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2021-06-24
Callback requested for05:30PM ET
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2021-06-25
Call successfulCompleted over the phone
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Asthma, Pre-existing disease — 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: I may have already reported this? I have had major flareup with my asthma since getting the vaccination. Worst in years. Using multiple inhalers. Doctor put me on a prednisone burst for 3 days. I got well and now I am at baseline.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
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)
- 2021-08-18
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2022-02-10
Survey response — 12 months, dose 2MedDRA: COVID-19, Unevaluable event — Feeling: Fair · 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: Covid delta variant · Healthcare visit (other): Outpatient infusion monoclonal antibody therapyMedDRA releases: 2024-11 · check-in free text available
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2022-02-10
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)
- 2022-02-15
- 2022-02-15
- 2022-02-15
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
9 call center cases
3 successful · 4 unsuccessful · 2 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 5
4 waits over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling of legs and abdomen
Systemic reaction (other): I have swollen lymph nodes under my armpit and down toward the breast. They are very tender.
Release 4 — day 14, dose 2
Symptoms: Still have a headache
Release 5 — day 21, dose 2
Symptoms: Fever, cough, fatigue and sore throat. Sore throat lasted 4 days. Fever 24 hours. Cough and fatigue continue.
Release 5 — day 28, dose 2
Symptoms: Cough, head ache, fatigue, runny nose
Release 5 — day 35, dose 2
Symptoms: Sinus infection and cough with IM antibiotics
Release 6 — day 42, dose 2
Symptoms: Sinus infection and IM shots for treatment
Release 8 — 3 months, dose 2
Symptoms: Respiratory infection with sinusitis
Release 9 — 6 months, dose 2
Symptoms: I may have already reported this? I have had major flareup with my asthma since getting the vaccination. Worst in years. Using multiple inhalers. Doctor put me on a prednisone burst for 3 days. I got well and now I am at baseline.
Release 11 — 12 months, dose 2
Symptoms: Covid delta variant
Healthcare visit (other): Outpatient infusion monoclonal antibody therapy
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 | Unevaluable event | · | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release