2US-32380-33377
5 vaccinations
8 coded responses
47 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 631 / MO
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
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2021-03-03
Registered in v-safe
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body achesAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Muscle aches are in lower right back/hipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Office visit — Feeling: Fair · Chills, Muscle or body aches · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Lower back pain on one side · Healthcare visit (other): Chiropractor and acupunctureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Less severe than Friday. Still lower back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-08
Survey response — day 7, dose 1MedDRA: Office visit — Feeling: Good · Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: ChiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-03-22
- 2021-03-29
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
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2021-11-01
Dose 3 — Moderna
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Chills — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I had chills on Minday when I got the shot but not today.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
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2021-11-27
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
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2022-05-04
Dose 4 — ModernaCo-administered: Shingles
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2022-08-03
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Oropharyngeal pain, Pyrexia, Throat irritation — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Scratchy sore throat; cough; mild headache; low grade feverMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Dose 5 — ModernaCo-administered: Flu
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2022-10-11
Survey response — day 7, dose 5MedDRA: Injection site pain — Feeling: GoodFree text: On the day of the shot and two days later I was sore at injection site but pain was much less sever that day and subsequent days than in the past, and only lasted another day or twoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-09
- 2022-11-14
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2023-01-03
Survey response — 3 months, dose 5MedDRA: Blood cholesterol increased — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-04 | Moderna | Shingles |
| 5 | 2022-10-03 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle aches are in lower right back/hip
Systemic reaction (other): Lower back pain on one side
Healthcare visit (other): Chiropractor and acupuncture
Systemic reaction (other): Less severe than Friday. Still lower back.
Release 5 — day 7, dose 1
Healthcare visit (other): Chiropractor
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had chills on Minday when I got the shot but not today.
Release 12 — 3 months, dose 4
Symptoms: Scratchy sore throat; cough; mild headache; low grade fever
Release 12 — day 7, dose 5
Systemic reaction (other): On the day of the shot and two days later I was sore at injection site but pain was much less sever that day and subsequent days than in the past, and only lasted another day or two
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 | Chiropractic | ○ | ○ | ○ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Blood cholesterol increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release