2Q6-14230-16748
4 vaccinations
5 coded responses
34 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 440 / OH
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-05
Registered in v-safe
- 2021-01-05
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-13
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
-
2021-02-01
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Inability to sleep the night after the injection (2/1) and last night (2/4)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-08-02
-
2021-10-29
Dose 3 — Moderna
-
2022-02-01
Survey response — 12 months, dose 2MedDRA: Blood donation, Blood loss anaemia, Iron deficiency anaemia, Unevaluable event — 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: Symptoms: I was diagnosed with and treated for iron deficient anemia due to blood loss from menstrual periods and donating blood · Healthcare visit (other): Upper GI endoscopy + 2 IV iron infusionsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: Blood donation, Iron deficiency anaemia, Menstrual disorder, Unevaluable event — 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: Symptoms: Iron deficient anemia due to menstrual periods and donating blood. · Healthcare visit (other): Upper GI endoscopy and 2 IV iron infusionsMedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-01
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-29
-
2022-05-24
Dose 4 — Moderna
- 2022-05-24
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
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2022-06-07
Survey response — day 14, dose 4MedDRA: Dizziness, Oropharyngeal pain — Feeling: GoodFree text: Sore throat started today. Dizzy off and on for past week. Possibly an ear infection.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
- 2022-06-21
-
2022-06-28
Survey response — day 35, dose 4MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: I think I have a slight cold and possible urinary tract infection. COVID test was negative day after cold symptoms started.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Inability to sleep the night after the injection (2/1) and last night (2/4)
Release 11 — 3 months, dose 3
Symptoms: Iron deficient anemia due to menstrual periods and donating blood.
Healthcare visit (other): Upper GI endoscopy and 2 IV iron infusions
Release 11 — 12 months, dose 2
Symptoms: I was diagnosed with and treated for iron deficient anemia due to blood loss from menstrual periods and donating blood
Healthcare visit (other): Upper GI endoscopy + 2 IV iron infusions
Release 11 — day 14, dose 4
Symptoms: Sore throat started today. Dizzy off and on for past week. Possibly an ear infection.
Release 12 — day 35, dose 4
Symptoms: I think I have a slight cold and possible urinary tract infection. COVID test was negative day after cold symptoms started.
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 | Blood donation | · | · | ✓ |
| SD | Blood loss anaemia | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Iron deficiency anaemia | · | · | ✓ |
| SD | Menstrual disorder | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release