2M2-10311-61838
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
-
2021-03-05
Survey response — day 0, dose 1MedDRA: Mobility decreased — Feeling: Good · Site: Pain · NauseaFree text: Have hard time lifting my arm up . Nothing major.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-09
- 2021-03-14
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaFree text: I noticed the muscle aches have a staying in themMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-05-07
- 2021-05-14
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Fatigue, Office visit, Systemic lupus erythematosus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I never really recovered from being tired my primary care thought it was my thyroid and as it stands right now it looks like its lupus I am now seeing a cardiologist I gastrology and route rheumatology I dont know if its from the Covid shot · Healthcare visit (other): I went to my primary On Sunday theyre going to give me a Covid test before I can go in and start having testing doneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-02
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
-
2021-07-07
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-01
-
2021-12-01
Dose 3 — Moderna
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingAdult check-in
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Poor · Fever · Chills, Fatigue or tiredness, NauseaFree text: These symptoms are from the booster shot that I hadMedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-23
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
- 2022-06-01
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Have hard time lifting my arm up . Nothing major.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I noticed the muscle aches have a staying in them
Release 9 — 3 months, dose 2
Symptoms: I never really recovered from being tired my primary care thought it was my thyroid and as it stands right now it looks like its lupus I am now seeing a cardiologist I gastrology and route rheumatology I dont know if its from the Covid shot
Healthcare visit (other): I went to my primary On Sunday theyre going to give me a Covid test before I can go in and start having testing done
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): These symptoms are from the booster shot that I had
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Systemic lupus erythematosus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release