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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

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain, Middle ear effusion — Feeling: Good
    Free text: Left Ear pain fluid in ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Fair · Headache
    Free text: Earache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear pain — Feeling: Good
    Free text: Ear ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Chest discomfort, Ear pain, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair
    Free text: Ear ache, congestion, chest tightness like I am getting a cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-29
    Survey response — day 14, dose 1
    MedDRA: 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 visit
    Free 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 1/25
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-29
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-12
    Dose 2 — Moderna
  15. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Chillblains, Pain, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Feb 12-13 low grade fever chills body aches very sore arm for three days, this was my second vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-06
  24. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: Covid. Severe headaches. Dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-02-14
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  26. 2022-02-15
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-19

Systemic reaction (other): Left Ear pain fluid in ears

2021-01-20

Systemic reaction (other): Earache

2021-01-21

Systemic reaction (other): Ear ache

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): Ear ache, congestion, chest tightness like I am getting a cold

Release 3 — day 14, dose 1

2021-01-29

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

2021-02-25

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

2022-02-14

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

FieldPreferred term2021-092023-042024-11
SDChest discomfort ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDizziness · · ✓
SDEar pain ✓ ✓ ✓
SDExposure to SARS-CoV-2 ✓ · ✓
SDHead discomfort ✓ · ✓
SDHeadache ✓ ✓ ✓
SDLower respiratory tract infection ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ · ✓
SROChest discomfort ✓ ✓ ✓
SROChillblains ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROMiddle ear effusion ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release