2XC-64587-57870
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 895 / NV
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-03-31
-
2021-04-01
Survey response — day 7, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chest congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
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2021-05-13
Survey response — day 21, dose 2MedDRA: Arthritis, Inflammation — Feeling: GoodFree text: Inflammation of joints in left leg. Hip, knee, foot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
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2021-10-21
Survey response — 6 months, dose 2MedDRA: Bronchitis chronic — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: I've had chronic bronchitis once a month since June. Take antibiotics and steroids, and it clears up but returns a few days later. I am on my 5th antibiotic and hope this one clears it all out.MedDRA releases: 2024-11 · check-in free text available
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2021-10-21
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2021-10-25
- 2021-10-28
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2022-04-22
Survey response — 12 months, dose 2MedDRA: Hospitalisation, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: I have had chronic bronchitis since June 2021. Or COPD depending on which doctor I talk to. Once a month they give me an antibiotic and steroid. The symptoms go away and come back after the medication is done. I am currently in the hospital.MedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-04-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Chest congestion
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 8 — day 21, dose 2
Symptoms: Inflammation of joints in left leg. Hip, knee, foot.
Release 10 — 6 months, dose 2
Symptoms: I've had chronic bronchitis once a month since June. Take antibiotics and steroids, and it clears up but returns a few days later. I am on my 5th antibiotic and hope this one clears it all out.
Release 11 — 12 months, dose 2
Symptoms: I have had chronic bronchitis since June 2021. Or COPD depending on which doctor I talk to. Once a month they give me an antibiotic and steroid. The symptoms go away and come back after the medication is done. I am currently in the hospital.
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Bronchitis chronic | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release