39P-67830-01435
4 vaccinations
7 coded responses
35 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 378 / TN
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
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2021-03-05
Survey response — day 0, dose 1MedDRA: Pyrexia — Feeling: Good · Fever · Fatigue or tirednessFree text: Feeling feverish didn't last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-05
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: I think allergies are giving me some symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Nausea, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had bad headache for days, nausea, aching and very fatigued. Think it might have been exposure to a variant. Same symptoms as after both shots. Then it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
-
2021-10-23
Dose 3 — Moderna
- 2022-04-01
-
2022-04-20
Dose 4 — Moderna
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2022-04-30
Survey response — day 7, dose 4MedDRA: Arthralgia, Chills, Fatigue, Knee arthroplasty, Myalgia, Pain, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: The day after the most recent shot I had chills, joint pain, extreme fatigue, muscle and body aches and I developed a rash around my left knee where I had a knee replacement on March 1, 2022MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — day 7, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-05-03
Call successfulCompleted over the phone
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
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2022-07-20
Survey response — 3 months, dose 4MedDRA: Chills, Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pain, Patient isolation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Headache, fatigue, sore throat, cough, body aches, chills. No high fever. I did not test for covid. I did have contact with people who tested positive. I self isolated for 5 days.MedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — 6 months, dose 4MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold-like symptoms with headache, cough, stuffy nose . . Lasted a week. I get bumps around the left knee I had replaced March 1. Seems i get them every time I'm exposed to a virus.MedDRA releases: 2024-11 · check-in free text available
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2023-04-20
Survey response — 12 months, dose 4MedDRA: Fatigue, Headache, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
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): Feeling feverish didn't last long
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I think allergies are giving me some symptoms
Release 9 — 3 months, dose 2
Symptoms: I had bad headache for days, nausea, aching and very fatigued. Think it might have been exposure to a variant. Same symptoms as after both shots. Then it went away.
Release 11 — day 7, dose 4
Systemic reaction (other): The day after the most recent shot I had chills, joint pain, extreme fatigue, muscle and body aches and I developed a rash around my left knee where I had a knee replacement on March 1, 2022
Release 12 — 3 months, dose 4
Symptoms: Headache, fatigue, sore throat, cough, body aches, chills. No high fever. I did not test for covid. I did have contact with people who tested positive. I self isolated for 5 days.
Release 12 — 6 months, dose 4
Symptoms: Cold-like symptoms with headache, cough, stuffy nose . . Lasted a week. I get bumps around the left knee I had replaced March 1. Seems i get them every time I'm exposed to a virus.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Knee arthroplasty | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release