3AU-52371-88908
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 057 / VT
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Dose 1 — Moderna
-
2021-01-16
Registered in v-safe
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-20
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Erythema, Fatigue, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesFree text: Last Sat 9 days post vaccine my arm was red and itchy. Sunday, 10 days post vaccine, I had a few hours mid day that I was exhausted, I never nap but I had to lay downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
-
2021-02-12
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Abdominal pain · Be unable to do your normal daily activitiesFree text: I'm not sure if the abdominal pain is from the vaccine or an ongoing issue. It is a new, more severe painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-16
- 2021-08-16
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-11-06
Survey response — day 14, dose 3MedDRA: Erythema, Office visit, Pre-existing disease, Pruritus, Self-medication, Urticaria — Feeling: Poor · 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 visitFree text: Red, raised itchy hives appearing and disappearing all over my body. Had to see doctor currwntly on benadryl and prednisone. I have no idea why, doctor thi ks allergy to something but have only changed to new kitty litter. Im allergic to catnipMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-11
-
2021-11-11
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-13
- 2021-11-20
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: FairFree text: Sore throat, negative for covid, probably from all of the antihistamine i am onMedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2022-01-22
- 2022-04-23
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 14, dose 1
Symptoms: Last Sat 9 days post vaccine my arm was red and itchy. Sunday, 10 days post vaccine, I had a few hours mid day that I was exhausted, I never nap but I had to lay down
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I'm not sure if the abdominal pain is from the vaccine or an ongoing issue. It is a new, more severe pain
Release 10 — day 14, dose 3
Symptoms: Red, raised itchy hives appearing and disappearing all over my body. Had to see doctor currwntly on benadryl and prednisone. I have no idea why, doctor thi ks allergy to something but have only changed to new kitty litter. Im allergic to catnip
Release 10 — day 35, dose 3
Symptoms: Sore throat, negative for covid, probably from all of the antihistamine i am on
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release