3AE-17344-44842
4 vaccinations
15 coded responses
55 check-ins
15 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 441 / OH
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
- 2020-12-29
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · DiarrheaFree text: Myself and my coworkers all had a floating sensation the day of/day after vaccination. Not serious, just odd feeling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
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2021-01-03
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Side note - AFTER I did my check in yesterday I had diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: My aunt died yesterday, so that could be the reason for the headache!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-19
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2021-01-26
Dose 2 — Moderna
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2021-01-26
Survey response — day 0, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Site: Pain · HeadacheFree text: Dizziness or floating sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Pain of skin — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: My skin hurts!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Muscle spasms, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Have had odd muscle spasm under my eye for three days now. Developed mild intermittent cough this morning. Could be GERD related though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: Still with a little cough today. Not progressing into anything worse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Fatigue or tirednessFree text: Insomnia for days!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
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2021-07-27
Survey response — 6 months, dose 2MedDRA: Migraine, Paraesthesia, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Having increased facial parasthesias and migraine - seeing neurologist in a few weeksMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-27
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-05
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2021-10-29
Dose 3 — Moderna
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2021-10-29
Survey response — day 0, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Mild dizzinessMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Self-medication — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: My fever started last night, I took Advil 600mg with some relief. Took Advil 600mg again this morning and still started running fever again today. TMax 99.1MedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
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2022-01-29
Survey response — 3 months, dose 3MedDRA: Condition aggravated, Pre-existing disease, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: My GERD has gotten really out of hand! · Healthcare visit (other): Sent message to office. Medication adjustment. Just did this a few days ago.MedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-01
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2022-02-07
Call successfulDoes not wish to fill out VAERS report
- 2022-04-29
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2022-06-05
Dose 4 — Moderna
- 2022-06-05
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2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Pain of skin — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessFree text: My skin hurtsMedDRA releases: 2024-11 · check-in free text available
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2022-06-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-08
- 2022-06-09
- 2022-06-10
- 2022-06-11
- 2022-06-12
- 2022-06-19
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2022-06-26
Survey response — day 21, dose 4MedDRA: Cough — Feeling: GoodFree text: Cough - may be reflux related.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-03
- 2022-07-11
- 2022-07-17
- 2022-09-05
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2022-12-04
Survey response — 6 months, dose 4MedDRA: Antinuclear antibody increased, Undifferentiated connective tissue disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I was diagnosed with an autoimmune disease - Undifferentiated Connective Tissue Disease. ANA 1280.MedDRA releases: 2024-11 · check-in free text available
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2022-12-04
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-05
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2022-12-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-06-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-06-05 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Myself and my coworkers all had a floating sensation the day of/day after vaccination. Not serious, just odd feeling.
Systemic reaction (other): Side note - AFTER I did my check in yesterday I had diarrhea
Systemic reaction (other): My aunt died yesterday, so that could be the reason for the headache!
Release 2 — day 0, dose 2
Systemic reaction (other): Dizziness or floating sensation
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): My skin hurts!
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Have had odd muscle spasm under my eye for three days now. Developed mild intermittent cough this morning. Could be GERD related though.
Systemic reaction (other): Still with a little cough today. Not progressing into anything worse.
Systemic reaction (other): Insomnia for days!
Release 9 — 6 months, dose 2
Symptoms: Having increased facial parasthesias and migraine - seeing neurologist in a few weeks
Release 10 — day 0, dose 3
Systemic reaction (other): Mild dizziness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My fever started last night, I took Advil 600mg with some relief. Took Advil 600mg again this morning and still started running fever again today. TMax 99.1
Release 11 — 3 months, dose 3
Symptoms: My GERD has gotten really out of hand!
Healthcare visit (other): Sent message to office. Medication adjustment. Just did this a few days ago.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): My skin hurts
Release 12 — day 21, dose 4
Symptoms: Cough - may be reflux related.
Release 12 — 6 months, dose 4
Symptoms: I was diagnosed with an autoimmune disease - Undifferentiated Connective Tissue Disease. ANA 1280.
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 | Unevaluable event | · | · | ✓ |
| SD | Antinuclear antibody increased | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Undifferentiated connective tissue disease | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release