2VP-76085-41179
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 019 / MA
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-06
Dose 1 — Moderna
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2021-04-14
Registered in v-safe
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2021-04-14
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-04-20
Survey response — day 14, dose 1MedDRA: Office visit, Pre-existing disease, Seasonal allergy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Seasonal allergies · Healthcare visit (other): Dr officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
- 2021-05-04
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Chills last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Fatigue comes and goes, and sometimes I get winded easily but then it passes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
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2021-05-18
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: GoodFree text: Its not a big deal but last week I got occasional bouts of fatigue that came on from out of nowhere. Seems to have stopped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
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2021-06-01
Survey response — day 28, dose 2MedDRA: Abdominal distension, Brain fog, Breast enlargement, Fatigue, Injection site pruritus, Premenstrual syndrome — Feeling: GoodFree text: I still get bouts of fatigue and mental cloudiness that come and go. Also the injection site randomly itches but no rash. Finally my PMS bloating is much crazier than it has been in many, many months; particularly my breasts. ??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
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2022-02-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-05-04
Survey response — 12 months, dose 2MedDRA: COVID-19, Unevaluable event — Feeling: Fair · 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 got covid. :/ And, unrelated, I'm now in menopause.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 12 months, dose 2Be 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)
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 7 — day 14, dose 1
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Chills last night
Systemic reaction (other): Fatigue comes and goes, and sometimes I get winded easily but then it passes.
Release 8 — day 14, dose 2
Symptoms: Its not a big deal but last week I got occasional bouts of fatigue that came on from out of nowhere. Seems to have stopped.
Release 8 — day 28, dose 2
Symptoms: I still get bouts of fatigue and mental cloudiness that come and go. Also the injection site randomly itches but no rash. Finally my PMS bloating is much crazier than it has been in many, many months; particularly my breasts. ??
Release 11 — 12 months, dose 2
Symptoms: I got covid. :/ And, unrelated, I'm now in menopause.
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 | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Breast enlargement | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Premenstrual syndrome | ✓ | ✓ | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ○ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release