2QF-34387-16435
5 vaccinations
7 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 956 / CA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 2 — Moderna
-
2021-03-26
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Slight soreness around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-28
- 2021-03-30
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Musculoskeletal discomfort, Neck pain, Self-medication — Feeling: GoodFree text: Only neck and shoulders aching started in the afternoon and I took Advil and am using a heating padMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
-
2021-05-07
Survey response — day 42, dose 2MedDRA: Vertigo — Feeling: Good · Be unable to do your normal daily activitiesFree text: Vertigo x about 8 hrs. Dont think it was covid vaccine because Ive had this perhaps 6x over many hrs- probably caused by contaminated food or viral- always no other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-25
- 2021-09-24
-
2021-11-02
Dose 3 — Moderna
- 2022-03-26
- 2022-05-03
-
2022-05-04
Dose 4 — Moderna
- 2022-05-15
- 2022-05-18
- 2022-05-26
- 2022-06-01
- 2022-06-09
- 2022-06-15
- 2022-08-03
-
2022-11-01
Dose 5 — Moderna
- 2022-11-02
- 2022-11-02
-
2022-11-03
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
- 2022-11-06
- 2022-11-08
- 2022-11-16
-
2022-11-22
Survey response — day 21, dose 5MedDRA: Adverse reaction, Diarrhoea, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nausea and diarrhea x 24 hrs probably due to antibiotic or some virus. That was past 24 hrs. Feeling better but not 100%.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
-
2022-12-06
Survey response — day 35, dose 5MedDRA: Abdominal pain, Chills, Faeces soft — Feeling: Good · Be unable to do your normal daily activitiesFree text: Terrible low abdominal cramping with soft unformed stools for 1 day then 2 days ok then 1 day again with cramping. Felt chilled at times but no fever. Ok now x 2 days. I figured it was a virus I got. Didn't think it was Covid but didn't test myself.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-13
-
2023-01-31
Survey response — 3 months, dose 5MedDRA: Chills, Cough, Myalgia, Rhinorrhoea — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-01-31
Report sent to call center — 3 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-01
-
2023-02-01
Call successfulCompleted over the phone
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-11-01 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Slight soreness around injection site
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Only neck and shoulders aching started in the afternoon and I took Advil and am using a heating pad
Release 8 — day 42, dose 2
Symptoms: Vertigo x about 8 hrs. Dont think it was covid vaccine because Ive had this perhaps 6x over many hrs- probably caused by contaminated food or viral- always no other symptoms.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Release 12 — day 21, dose 5
Symptoms: Nausea and diarrhea x 24 hrs probably due to antibiotic or some virus. That was past 24 hrs. Feeling better but not 100%.
Release 12 — day 35, dose 5
Symptoms: Terrible low abdominal cramping with soft unformed stools for 1 day then 2 days ok then 1 day again with cramping. Felt chilled at times but no fever. Ok now x 2 days. I figured it was a virus I got. Didn't think it was Covid but didn't test myself. cut off by CDC
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 | Abdominal pain | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Faeces soft | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ○ |
| SRO | Neck pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release