3AR-74704-76318
1 vaccination
4 coded responses
14 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 412 / KY
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
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2021-02-04
Survey response — day 14, dose 1MedDRA: Hypoaesthesia, Injection site rash, Neck pain, Office visit, Paraesthesia, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Swollen, warm, itchy rash at injection site 10 days post vaccination. Persistent low grade fever (4 days so far), numbness/tingling in arm and radial side of hand, neck pain · Healthcare visit (other): In person physician visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Survey response — day 21, dose 1MedDRA: Asthenia, Dizziness, Headache, Pyrexia — Feeling: FairFree text: Weakness, continued fever (currently on day 12), dizziness, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 28, dose 1MedDRA: Dizziness, Headache, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Dizziness, continued low grade temp, constant headache that will not go away even with medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-26
Survey response — day 35, dose 1MedDRA: Headache, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Continued headache that will not go away with any type of pain reliever (including migraine medicine). Continued fluctuation in temperature (99.0-99.9) · Healthcare visit (other): ChiropractorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-06
- 2021-04-22
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2021-07-01
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2021-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 3 — day 14, dose 1
Symptoms: Swollen, warm, itchy rash at injection site 10 days post vaccination. Persistent low grade fever (4 days so far), numbness/tingling in arm and radial side of hand, neck pain
Healthcare visit (other): In person physician visit
Release 4 — day 21, dose 1
Symptoms: Weakness, continued fever (currently on day 12), dizziness, headache
Release 4 — day 28, dose 1
Symptoms: Dizziness, continued low grade temp, constant headache that will not go away even with medication
Release 4 — day 35, dose 1
Symptoms: Continued headache that will not go away with any type of pain reliever (including migraine medicine). Continued fluctuation in temperature (99.0-99.9)
Healthcare visit (other): Chiropractor
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release