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36M-19129-40043

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
21-25
ZIP prefix
895 / NV
Registered
2021-01-08
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion, Pre-existing disease, Self-medication — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Allergy like symptoms that do not clear up with allergy medication, mainly a stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chest discomfort, Cough, Paranasal sinus discomfort — Feeling: Poor · Fever · Headache, Fatigue or tiredness
    Free text: Dry, airy cough, almost like an asthmatic cough, lots of sinus pressure, tight chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-01-15
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-01-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-01-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Dose 2 — Moderna
  11. 2021-02-11
    Survey response — day 7, dose 2
    MedDRA: Chills, Headache, Movement disorder, Pain, Pyrexia — Feeling: Good · Site: Pain
    Free text: February 5th i experienced body aches, chills, and a fever of 101.5. It was diffult to move or move out of bed. I also experienced a spinning headache and was very limited and had to lay flat for most of the weekend. The fever broke on the evening on February 5th. The headaches lasted until February 9th
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-05
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-02-06
    Survey response — 12 months, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — 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 visit, Emergency room or emergency department visit
    Free text: Exacerbation of GERD
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-02-06
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  21. 2022-02-09
  22. 2022-02-14
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-10

Systemic reaction (other): Allergy like symptoms that do not clear up with allergy medication, mainly a stuffy nose

2021-01-11

Systemic reaction (other): Dry, airy cough, almost like an asthmatic cough, lots of sinus pressure, tight chest

Release 4 — day 7, dose 2

2021-02-11

Systemic reaction (other): February 5th i experienced body aches, chills, and a fever of 101.5. It was diffult to move or move out of bed. I also experienced a spinning headache and was very limited and had to lay flat for most of the weekend. The fever broke on the evening on February 5th. The headaches lasted until February 9th

Release 11 — 12 months, dose 2

2022-02-06

Symptoms: Exacerbation of GERD

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

FieldPreferred term2021-092023-042024-11
SDCondition aggravated · · ✓
SDPre-existing disease · · ✓
SROChest discomfort ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypersensitivity ○ ○ ○
SROMovement disorder ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release