2LH-18928-94260
2 vaccinations
7 coded responses
19 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 085 / NJ
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain, Middle ear effusion — Feeling: GoodFree text: Left Ear pain fluid in earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: Fair · HeadacheFree text: EaracheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Ear pain — Feeling: GoodFree text: Ear acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 7, dose 1MedDRA: Chest discomfort, Ear pain, Nasopharyngitis, Respiratory tract congestion — Feeling: FairFree text: Ear ache, congestion, chest tightness like I am getting a coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — day 14, dose 1MedDRA: Chest discomfort, Ear pain, Exposure to SARS-CoV-2, Head discomfort, Headache, Lower respiratory tract infection, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache and pressure 1/22 with earache and chest cold tightness feeling. Went 1/23 for covid test because I was exposed. It was negative. Symptoms resolved by 1/25MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Chillblains, Pain, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Feb 12-13 low grade fever chills body aches very sore arm for three days, this was my second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-13
- 2021-11-06
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2022-02-14
Survey response — 12 months, dose 2MedDRA: COVID-19, Dizziness, Headache — 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 · Emergency room or emergency department visitFree text: Covid. Severe headaches. Dizziness.MedDRA releases: 2024-11 · check-in free text available
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2022-02-14
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 prEmergency room or emergency department visit · 1 call case(s)
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2022-02-15
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Left Ear pain fluid in ears
Systemic reaction (other): Earache
Systemic reaction (other): Ear ache
Release 2 — day 7, dose 1
Systemic reaction (other): Ear ache, congestion, chest tightness like I am getting a cold
Release 3 — day 14, dose 1
Symptoms: Headache and pressure 1/22 with earache and chest cold tightness feeling. Went 1/23 for covid test because I was exposed. It was negative. Symptoms resolved by 1/25
Release 4 — day 7, dose 2
Systemic reaction (other): Feb 12-13 low grade fever chills body aches very sore arm for three days, this was my second vaccine
Release 11 — 12 months, dose 2
Symptoms: Covid. Severe headaches. Dizziness.
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | · | ✓ |
| SD | Head discomfort | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chillblains | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Middle ear effusion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release