2RB-17686-16921
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 197 / DE
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
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2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Feeling abnormal, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Foggy and Lower back pain from prior health issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Muscle spasms, Pain — Feeling: Good · Muscle or body achesFree text: Muscle spasms, aches n tired...most likely from increase work aircraft maintenanceactivityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-13
- 2021-03-18
-
2021-03-24
Dose 2 — Moderna
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Full body tinglingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Dull throb/headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Fever · HeadacheFree text: Slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 7, dose 2MedDRA: Decreased appetite, Headache — Feeling: Good · HeadacheFree text: Lack of appetite mild, headache moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-30
- 2021-05-05
- 2021-06-23
- 2021-09-24
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2022-03-29
Survey response — 12 months, dose 2MedDRA: Ear pain, Headache, Nasopharyngitis, Office visit, Sinus congestion, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Terrible headacge/earache associated with excess sinus congestion lasting 4 wks+ around Xmas. After feeling well from this for only a week n a half got another head cold, lasting less time. Took wks to obtain dr visit n meds due to covid restriction · Healthcare visit (other): Had to get telehealth first and wait another 2 wks for visit n meds-ridiculousMedDRA releases: 2024-11 · check-in free text available
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2022-03-29
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-03-30
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Foggy and Lower back pain from prior health issue.
Systemic reaction (other): Muscle spasms, aches n tired...most likely from increase work aircraft maintenanceactivity
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Full body tingling
Systemic reaction (other): Dull throb/headache
Systemic reaction (other): Slight headache
Release 6 — day 7, dose 2
Systemic reaction (other): Lack of appetite mild, headache moderate
Release 11 — 12 months, dose 2
Symptoms: Terrible headacge/earache associated with excess sinus congestion lasting 4 wks+ around Xmas. After feeling well from this for only a week n a half got another head cold, lasting less time. Took wks to obtain dr visit n meds due to covid restriction cut off by CDC
Healthcare visit (other): Had to get telehealth first and wait another 2 wks for visit n meds-ridiculous
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 | · | · | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release