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2R4-19133-50606

2 vaccinations 6 coded responses 20 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
641 / MO
Registered
2021-01-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My temp is usually 97.4-97.7 Been taking almost daily since this all started.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  6. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  9. 2021-02-03
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Asthenia, Fatigue, Injection site joint pain — Feeling: Fair
    Free text: Tiredness never went away. Getting worse. Joints achy especially sholder where injection was. If i get any weaker i wont be able to work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-09
    Dose 2 — Moderna
  11. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Nose bleed after a warm bath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-23
    Survey response — day 14, dose 2
    MedDRA: Muscular weakness, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nerve pain and weakness in left arm. Feel it down arm, past elbow and into hand between fingers. Never had this before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Pain in arm running down to hand · Healthcare visit (other): Have appt on Friday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-02
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  20. 2021-03-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-30
    Call successful
    Does not wish to fill out VAERS report
  25. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-09
    Survey response — 12 months, dose 2
    MedDRA: Injection site pain, Tinnitus — Feeling: Good
    Free text: 1. Pain in arm where vaccinated. 2. Really loud tinnitus since booster.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-09Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): My temp is usually 97.4-97.7 Been taking almost daily since this all started.

Release 3 — day 21, dose 1

2021-02-03

Symptoms: Tiredness never went away. Getting worse. Joints achy especially sholder where injection was. If i get any weaker i wont be able to work.

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): Nose bleed after a warm bath

Release 4 — day 14, dose 2

2021-02-23

Symptoms: Nerve pain and weakness in left arm. Feel it down arm, past elbow and into hand between fingers. Never had this before.

Release 4 — day 21, dose 2

2021-03-02

Symptoms: Pain in arm running down to hand
Healthcare visit (other): Have appt on Friday

Release 11 — 12 months, dose 2

2022-02-09

Symptoms: 1. Pain in arm where vaccinated. 2. Really loud tinnitus since booster.

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
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site joint pain ✓ ✓ ✓
SDInjection site pain · · ✓
SDMuscular weakness ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDTinnitus · · ✓
SROAdverse reaction ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓

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