2SP-31381-45507
5 vaccinations
5 coded responses
58 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
-
2021-04-07
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-21
- 2021-07-07
- 2021-10-06
-
2021-10-29
Dose 3 — Pfizer-BioNTech
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: Good · Site: PainFree text: I don't really have redness at the injection side, but I do have a bruise.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: I still have a bruise at the injection site.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Food poisoning — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had food poisoning, so it was not related to the vaccines. It resolved without medication.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-12-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-12-10
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Bronchitis, Office visit, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had bronchitis for 2 weeks starting at the end of December. I went to a doctor and was diagnosed and given 2 Z paks to treat it. I had a covid tests before during and after (3 at home tests and 1 PCR test) and was always negative.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-02-01
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-30
-
2022-05-03
Dose 4 — Moderna
-
2022-05-03
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-06
- 2022-05-07
- 2022-05-09
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-08-02
-
2022-09-12
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-07
- 2022-10-10
- 2022-10-19
- 2022-10-24
- 2022-12-12
-
2023-03-13
Survey response — 6 months, dose 5MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection bacterial — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-13
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-14
-
2023-03-21
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-10-29 | Pfizer-BioNTech | No |
| 4 | 2022-05-03 | Moderna | No |
| 5 | 2022-09-12 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I don't really have redness at the injection side, but I do have a bruise.
Systemic reaction (other): I still have a bruise at the injection site.
Release 10 — day 35, dose 3
Symptoms: I had food poisoning, so it was not related to the vaccines. It resolved without medication.
Release 11 — 3 months, dose 3
Symptoms: I had bronchitis for 2 weeks starting at the end of December. I went to a doctor and was diagnosed and given 2 Z paks to treat it. I had a covid tests before during and after (3 at home tests and 1 PCR test) and was always negative.
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 | Bronchitis | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection bacterial | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release