368-12936-37397
3 vaccinations
9 coded responses
37 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 320 / FL
- Registered
- 2021-06-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-18
Registered in v-safe
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2021-06-18
Dose 1 — Moderna
- 2021-06-18
- 2021-06-19
- 2021-06-20
- 2021-06-21
- 2021-06-22
- 2021-06-23
- 2021-06-24
- 2021-06-25
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2021-07-02
Survey response — day 14, dose 1MedDRA: Erythema, Feeling hot, Immunisation reaction, Pain in extremity — Feeling: GoodFree text: Allergy on the arm. Redness, hot, painful, ok the injection side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-09
- 2021-07-16
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2021-07-23
Dose 2 — Moderna
- 2021-07-23
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2021-07-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-07-25
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Numbness in handsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
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2021-07-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-07-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-07-29
- 2021-07-30
- 2021-08-06
- 2021-08-13
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2021-08-20
Survey response — day 28, dose 2MedDRA: Diarrhoea, Dysmenorrhoea, Headache, Menstruation delayed — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I didnt have my period. As today 17 days delayed. Negative pregnancy test. Headaches mostly all days. Cramps like when you have your period mostly all days. Mild diarrhea every 2 days. Not changing diet.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-20
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-27
Survey response — day 35, dose 2MedDRA: Menstruation delayed — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I havent had my period yet. As today 24 days delayed. Negative pregnancy test.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
- 2021-08-30
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2021-08-30
Call successfulCompleted over the phone
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2021-09-03
Survey response — day 42, dose 2MedDRA: Dysmenorrhoea, Menstruation delayed — Feeling: GoodFree text: Me trial period delayed one month. Father a month my period came and was more intense than usual. A lot of cramps.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-24
- 2022-01-23
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2022-02-01
Dose 3 — Moderna
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2022-02-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-02-07
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Office visit — Feeling: Fair · Headache, Nausea, Diarrhea · Get care from a doctor or other healthcare professionalFree text: Chiropractic visit and pain medication for headachesMedDRA releases: 2024-11 · check-in free text available
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2022-02-07
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-08
Survey response — day 7, dose 3MedDRA: Headache, Office visit — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Chiropractic visit, pain medication for headacheMedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-09
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2022-02-10
Callback requested for07:00PM ET
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2022-02-15
Survey response — day 14, dose 3MedDRA: Headache, Oropharyngeal pain — Feeling: FairFree text: Headaches everyday. Sore throat.MedDRA releases: 2024-11 · check-in free text available
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2022-02-15
Call successfulParticipant prefers to complete VAERS report online
- 2022-02-24
- 2022-03-01
- 2022-03-08
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2022-03-17
Survey response — day 42, dose 3MedDRA: Fatigue, Headache, Oropharyngeal pain, Productive cough, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Sore throat, tiredness, cough with expectoration, nasal fluid, headache,MedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
- 2022-08-02
- 2023-02-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-18 | Moderna | |
| 2 | 2021-07-23 | Moderna | No |
| 3 | 2022-02-01 | Moderna | No |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — day 14, dose 1
Symptoms: Allergy on the arm. Redness, hot, painful, ok the injection side.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Numbness in hands
Release 9 — day 28, dose 2
Symptoms: I didnt have my period. As today 17 days delayed. Negative pregnancy test. Headaches mostly all days. Cramps like when you have your period mostly all days. Mild diarrhea every 2 days. Not changing diet.
Release 9 — day 35, dose 2
Symptoms: I havent had my period yet. As today 24 days delayed. Negative pregnancy test.
Release 9 — day 42, dose 2
Symptoms: Me trial period delayed one month. Father a month my period came and was more intense than usual. A lot of cramps.
Release 11 — days 1–6 daily, dose 3
Healthcare visit (other): Chiropractic visit and pain medication for headaches
Release 11 — day 7, dose 3
Healthcare visit (other): Chiropractic visit, pain medication for headache
Release 11 — day 14, dose 3
Symptoms: Headaches everyday. Sore throat.
Release 11 — day 42, dose 3
Symptoms: Sore throat, tiredness, cough with expectoration, nasal fluid, 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 |
|---|---|---|---|---|
| HCVO | Headache | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Dysmenorrhoea | ✓ | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Menstruation delayed | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Hypoaesthesia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release