32G-42280-07020
2 vaccinations
4 coded responses
16 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 934 / CA
- Registered
- 2021-05-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Dose 1 — Moderna
-
2021-05-20
Registered in v-safe
-
2021-05-20
Dose 2 — Moderna
- 2021-05-20
-
2021-05-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-05-22
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-24
-
2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Woke with minor sore throat and feeling of coming down with cold. Felt mostly better before noon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Head discomfort, Respiratory tract congestion — Feeling: Good · HeadacheFree text: Slight head pressure and congestion possibly due to minor cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
-
2021-08-19
Survey response — 3 months, dose 2MedDRA: Ear infection, Office visit, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ear and urinary tract infections · Healthcare visit (other): Doctor appointment in officeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-08-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-11-18
-
2022-05-21
Survey response — 12 months, dose 2MedDRA: Office visit, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I've had daily hives since August. I never had hives before, so this is unusual. Doctors cannot figure out cause, but only thing different was COVID vaccine that I can think of. · Healthcare visit (other): Primary care and dermatologist doctor appointmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-23
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Woke with minor sore throat and feeling of coming down with cold. Felt mostly better before noon.
Systemic reaction (other): Slight head pressure and congestion possibly due to minor cold.
Release 9 — 3 months, dose 2
Symptoms: Ear and urinary tract infections
Healthcare visit (other): Doctor appointment in office
Release 11 — 12 months, dose 2
Symptoms: I've had daily hives since August. I never had hives before, so this is unusual. Doctors cannot figure out cause, but only thing different was COVID vaccine that I can think of.
Healthcare visit (other): Primary care and dermatologist doctor appointments
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 | Ear infection | ✓ | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Urinary tract infection | ✓ | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release