35H-16981-18547
4 vaccinations
6 coded responses
51 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Dose 1 — Moderna
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2021-01-11
Registered in v-safe
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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, NauseaAdult check-in
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, NauseaAdult check-in
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-16
- 2021-01-17
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2021-01-24
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site warmth, Rhinorrhoea — Feeling: GoodFree text: 7 days out, thee was redness, itchiness, and warm injection site. Runny nose, headache, and rundown feeling returned on day 9 and lasted two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-07
Dose 2 — Moderna
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2021-02-07
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, NauseaAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, NauseaAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-11
- 2021-02-12
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-05-09
- 2021-08-08
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2021-11-13
Dose 3 — Moderna
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
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2021-11-27
Survey response — day 14, dose 3MedDRA: Sinusitis — Feeling: Good · Be unable to work or attend schoolFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-18
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2021-12-26
Survey response — day 42, dose 3MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Survey response — 3 months, dose 3MedDRA: Asthenia, Cough, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever of 103, cough, weakness, sore throat, congestion. Negative covid test but lasted five daysMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
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2022-10-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-29
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2022-10-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2022-10-31
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-11-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2022-11-02
- 2022-11-03
- 2022-11-05
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2022-11-11
Survey response — day 14, dose 4MedDRA: Cough, Ear pain, Headache, Nausea, Respiratory tract congestion — Feeling: Poor · 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 visit, Emergency room or emergency department visitFree text: Congestion, cough, ear pain, nausea, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — day 14, dose 4Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2022-11-14
- 2022-11-18
- 2022-11-25
- 2022-12-03
- 2022-12-09
- 2023-01-29
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2023-04-28
Survey response — 6 months, dose 4MedDRA: Ear infection, Sinusitis — 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 visitMedDRA releases: 2024-11
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2023-04-28
Report sent to call center — 6 months, dose 4Be 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)
- 2023-05-01
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-07 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-10-28 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-11 | Unsuccessful | |
| 2023-04-28 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: 7 days out, thee was redness, itchiness, and warm injection site. Runny nose, headache, and rundown feeling returned on day 9 and lasted two days.
Release 10 — day 14, dose 3
Symptoms: Sinus infection
Release 10 — day 42, dose 3
Symptoms: Runny nose, sore throat
Release 11 — 3 months, dose 3
Symptoms: Fever of 103, cough, weakness, sore throat, congestion. Negative covid test but lasted five days
Release 12 — day 14, dose 4
Symptoms: Congestion, cough, ear pain, nausea, headache
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release