2R8-73365-35692
4 vaccinations
3 coded responses
45 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 208 / MD
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain in extremity — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: Muscle pain around general area of injection site- ie soreness traveled throughout left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-20
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-04
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-08-10
-
2021-12-22
Dose 3 — Moderna
- 2021-12-22
-
2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-02-02
- 2022-03-23
-
2022-09-26
Dose 4 — Pfizer-BioNTech
- 2022-10-11
- 2022-10-17
-
2022-10-24
Survey response — day 28, dose 4MedDRA: Nasopharyngitis — Feeling: GoodFree text: Mild cold. Believe i may have contracted it from my 8-month old.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-12-28
-
2023-03-27
Survey response — 6 months, dose 4MedDRA: Pharyngitis streptococcal — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-27
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-28
- 2023-03-31
-
2023-03-31
Callback requested for10:00AM ET
-
2023-03-31
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
| 4 | 2022-09-26 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-27 | Successful 2023-03-31 |
Completed over the phone |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle pain around general area of injection site- ie soreness traveled throughout left arm
Release 12 — day 28, dose 4
Symptoms: Mild cold. Believe i may have contracted it from my 8-month old.
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 | Nasopharyngitis | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ○ | ○ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release