39M-81976-19991
5 vaccinations
12 coded responses
43 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-19
Registered in v-safe
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2021-03-19
Dose 1 — Moderna
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2021-03-19
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I spent the night sitting in the ER with my mom who fell. Thats why the fatigue, probably.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Injection site is a little warm. Still havent caught up on missed nights sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Injection site swelling, Musculoskeletal stiffness — Feeling: Good · Site: PainFree text: A very little amount of stiffness and swelling around the injection site is all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2021-03-26
Health check-in — day 7, dose 1Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-04-02
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2021-04-12
Dose 2 — Moderna
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Rash — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: Rash on arm is HOT102 degrees! Forehead at same time was 97.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-05-03
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2021-05-10
Survey response — day 28, dose 2MedDRA: Arthralgia, Neck pain, Stress — Feeling: FairFree text: Sore neck, back and shoulders. Likely stress unrelated to vaccine. Mom is in hospice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-24
- 2021-07-15
- 2021-10-11
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2021-10-26
Dose 3 — Pfizer-BioNTech
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Fair · Headache, Muscle or body aches, NauseaFree text: Injection site is warm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Injection site is warmMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site warmth — Feeling: Good · Site: Swelling · Muscle or body aches, NauseaFree text: Injection site is warm . You should offer other as an option in that section.MedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Muscle or body achesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-11-01
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2021-11-02
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Have people reported soreness in areas where there are a lot of lymph nodes?MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-12-01
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Arthralgia — Feeling: FairFree text: Left shoulder pain.MedDRA releases: 2024-11 · check-in free text available
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2022-06-21
Dose 4 — Moderna
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2022-10-05
Dose 5 — Pfizer-BioNTechCo-administered: Shingles
- 2022-10-26
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
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2023-01-04
Survey response — 3 months, dose 5MedDRA: Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-04
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-05
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2023-01-05
Callback requested for10:20AM ET
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2023-01-11
Call successfulCompleted over the phone
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
| 4 | 2022-06-21 | Moderna | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | Shingles |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I spent the night sitting in the ER with my mom who fell. Thats why the fatigue, probably.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site is a little warm. Still havent caught up on missed nights sleep.
Systemic reaction (other): A very little amount of stiffness and swelling around the injection site is all.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Rash on arm is HOT102 degrees! Forehead at same time was 97.
Release 8 — day 28, dose 2
Symptoms: Sore neck, back and shoulders. Likely stress unrelated to vaccine. Mom is in hospice.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site is warm.
Systemic reaction (other): Injection site is warm
Systemic reaction (other): Injection site is warm . You should offer other as an option in that section.
Release 10 — day 7, dose 3
Systemic reaction (other): Have people reported soreness in areas where there are a lot of lymph nodes?
Release 11 — 6 months, dose 3
Symptoms: Left shoulder pain.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release