2XP-27390-06697
3 vaccinations
9 coded responses
31 check-ins
9 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 51-55
- ZIP prefix
- 310 / GA
- Registered
- 2021-08-11
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
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2021-08-11
Registered in v-safe
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2021-08-11
Dose 1 — Moderna
- 2021-08-11
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2021-08-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-08-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-08-14
- 2021-08-15
- 2021-08-16
- 2021-08-17
- 2021-08-18
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2021-08-25
Survey response — day 14, dose 1MedDRA: Immunisation reaction — Feeling: GoodFree text: COVID armMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-01
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2021-09-08
Dose 2 — Moderna
- 2021-09-08
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2021-09-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-09-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-09-11
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling, Itching · DiarrheaFree text: Slight tingling in lower half of my face.MedDRA releases: 2024-11 · check-in free text available
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2021-09-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
- 2021-09-13
- 2021-09-14
- 2021-09-15
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2021-09-22
Survey response — day 14, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: On the evening of 9-15 I had tingling in my face.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-29
- 2021-10-06
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2021-10-13
Survey response — day 35, dose 2MedDRA: Menstruation irregular, Palpitations — Feeling: GoodFree text: Heart palpitations Missed menstrual cycleMedDRA releases: 2024-11 · check-in free text available
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2021-10-20
Survey response — day 42, dose 2MedDRA: Menstruation irregular — Feeling: GoodFree text: Missed menstrual cycleMedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Survey response — 3 months, dose 2MedDRA: Hypomenorrhoea, Menstruation delayed — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Absent menstrual cycle from September-November. Shorter than normal period in December.MedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-09
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2021-12-10
Call successfulDoes not wish to fill out VAERS report
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2022-04-22
Dose 3 — Moderna
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2022-05-04
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Lymph node pain in armpit. Same side as injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-08
- 2022-05-13
- 2022-05-20
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2022-05-27
Survey response — day 35, dose 3MedDRA: Body temperature increased, Cough, Nasal congestion, Oropharyngeal pain, Paraesthesia, Paranasal sinus discomfort, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tested positive for Covid-19 Cough, nasal congestion, sore throat, elevated temperature, tingling in extremities, slight sinus pressure.MedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Survey response — day 42, dose 3MedDRA: Cough, Nasal congestion, Pharyngeal swelling, SARS-CoV-2 test positive, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough, post nasal drip, slightly swollen throat, stuffy nose. Positive Covid test. Day 11 of symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-11 | Moderna | No |
| 2 | 2021-09-08 | Moderna | No |
| 3 | 2022-04-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 9 — day 14, dose 1
Symptoms: COVID arm
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Slight tingling in lower half of my face.
Release 9 — day 14, dose 2
Symptoms: On the evening of 9-15 I had tingling in my face.
Release 10 — day 35, dose 2
Symptoms: Heart palpitations Missed menstrual cycle
Release 10 — day 42, dose 2
Symptoms: Missed menstrual cycle
Release 10 — 3 months, dose 2
Symptoms: Absent menstrual cycle from September-November. Shorter than normal period in December.
Release 11 — day 7, dose 3
Systemic reaction (other): Lymph node pain in armpit. Same side as injection.
Release 11 — day 35, dose 3
Symptoms: Tested positive for Covid-19 Cough, nasal congestion, sore throat, elevated temperature, tingling in extremities, slight sinus pressure.
Release 11 — day 42, dose 3
Symptoms: Cough, post nasal drip, slightly swollen throat, stuffy nose. Positive Covid test. Day 11 of symptoms.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Hypomenorrhoea | · | · | ✓ |
| SD | Immunisation reaction | ✓ | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release