32R-32625-20332
5 vaccinations
3 coded responses
52 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 489 / MI
- Registered
- 2021-04-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
FBR-33403-88706
Child or adolescent in my care · Male · 2022-06-28
69C-15579-93825
Child or adolescent in my care · Male · 2023-02-21
Timeline
-
2021-03-29
Dose 1 — Moderna
-
2021-04-26
Registered in v-safe
-
2021-04-26
Dose 2 — Moderna
-
2021-04-26
Survey response — day 0, dose 2MedDRA: Syncope — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: FaintingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Asthma, Illness, Nasopharyngitis, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a cold (COVID tests were negative throughout illness) that lasted for 14 days and since my asthma has been flaring a lot worse than it ever has before. I have never had to tear my asthma before now.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Report sent to call center — 6 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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-27
-
2021-11-29
Dose 3 — Moderna
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-12-06
-
2021-12-13
Survey response — day 14, dose 3MedDRA: Pregnancy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme nausea likely due to first trimester pregnancy morning sicknessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
-
2022-06-06
Dose 4 — Pfizer-BioNTech
-
2022-06-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-06-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-09
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
- 2022-07-11
- 2022-07-18
- 2022-09-05
- 2022-12-05
-
2023-01-08
Dose 5 — Moderna
- 2023-01-14
- 2023-01-15
- 2023-01-22
- 2023-01-29
- 2023-02-05
- 2023-02-12
- 2023-02-19
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-06-06 | Pfizer-BioNTech | No |
| 5 | 2023-01-08 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-25 | Unsuccessful |
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Fainting
Release 10 — 6 months, dose 2
Symptoms: I had a cold (COVID tests were negative throughout illness) that lasted for 14 days and since my asthma has been flaring a lot worse than it ever has before. I have never had to tear my asthma before now.
Release 10 — day 14, dose 3
Symptoms: Extreme nausea likely due to first trimester pregnancy morning sickness
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 | Asthma | · | · | ✓ |
| SD | Illness | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release