326-20976-79258
4 vaccinations
12 coded responses
50 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
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2021-03-02
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessFree text: there was some dizziness but that may have been related to walking home after the shot. It cleared shortly thereafter with some pedialyte.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Gait disturbance — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slight light headedness when walking for exerciseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: GoodFree text: Canker sore developed inside bottom lower lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-31
Dose 2 — Moderna
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2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult 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
- 2021-07-02
- 2021-09-29
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2021-10-26
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Fatigue, Injection site pain, Night sweats — Feeling: Good · Muscle or body achesFree text: Day of and day after shot I had dizziness, severe pain at injection site, fatigue, and night sweats. They broke after 48 hours.MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: A cold - stuffed up nose, sore throat, light cough that only came sporadicallyMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
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2022-01-25
Survey response — 3 months, dose 3MedDRA: Wheezing — Feeling: GoodFree text: Slight chest wheezeMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Cough, Wheezing — Feeling: FairFree text: Light sporadic cough, small wheeze at timesMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Dose 4 — Pfizer-BioNTech
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2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight dizziness yesterday following injectionMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slight dizziness a few timesMedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
- 2022-10-15
- 2022-10-16
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2022-10-17
Health check-in — day 7, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-24
Survey response — day 14, dose 4MedDRA: Headache — Feeling: GoodFree text: Sharp head pain occasionallyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-07
- 2022-11-14
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2022-11-21
Survey response — day 42, dose 4MedDRA: Abdominal discomfort — Feeling: GoodFree text: Upset stomachMedDRA releases: 2024-11 · check-in free text available
- 2023-01-09
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2023-04-11
Survey response — 6 months, dose 4MedDRA: Abortion spontaneous, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-04-11
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
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2023-04-12
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-10-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-11 | Successful 2023-04-12 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): there was some dizziness but that may have been related to walking home after the shot. It cleared shortly thereafter with some pedialyte.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Slight light headedness when walking for exercise
Systemic reaction (other): Canker sore developed inside bottom lower lip
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Day of and day after shot I had dizziness, severe pain at injection site, fatigue, and night sweats. They broke after 48 hours.
Release 10 — day 35, dose 3
Symptoms: A cold - stuffed up nose, sore throat, light cough that only came sporadically
Release 11 — 3 months, dose 3
Symptoms: Slight chest wheeze
Release 11 — 6 months, dose 3
Symptoms: Light sporadic cough, small wheeze at times
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Slight dizziness yesterday following injection
Systemic reaction (other): Slight dizziness a few times
Release 12 — day 14, dose 4
Symptoms: Sharp head pain occasionally
Release 12 — day 42, dose 4
Symptoms: Upset stomach
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 discomfort | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gait disturbance | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release