3B7-72579-85793
5 vaccinations
6 coded responses
33 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 180 / PA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — day 7, dose 1MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: The rash hardly seems like a rash, but I have what seems to be extremely tiny dry bumps. They are not itchy, but I found them scratching what felt like dry, rough skin. The area is predominantly on the front of my left arm and near the fold of my arm. It is not swollen and has no generalized redness. I have noticed an increase in nasal runniness and congestion improved by nasal irrigation and normal for me, but worse this week, whether a coincidence or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Be unable to workFree text: The timing of this check-in isnt allowing me to report that I had fever for a day and a half starting 17 hours after my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-07
- 2021-05-25
- 2021-08-24
-
2021-11-03
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Office visit, Pharyngitis streptococcal — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm currently being treated for strep throat. · Healthcare visit (other): Primary care physicianMedDRA releases: 2024-11 · check-in free text available
-
2022-02-23
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-24
-
2022-04-21
Dose 4 — Moderna
-
2022-04-28
Survey response — day 7, dose 4MedDRA: Fatigue, Impaired work ability, Injection site pruritus, Injection site swelling, Pyrexia, Tinnitus — Feeling: GoodFree text: This assessment is 7 days after my 4th shot. I was unable to work, experienced tinnitus, fever, fatigue, and my injection site was swollen and itchy for a good 4 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
-
2022-05-25
Survey response — day 28, dose 4MedDRA: Blood urine present, Office visit, Pyrexia, Urinary tract infection, Urine abnormality, Urine odour abnormal, White blood cells urine abnormal — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I developed a urinary tract infection, with symptoms being telltale urine odor, some cloudiness, and fever, with blood and leukocytes detected in my urine. (The culture has not returned yet). · Healthcare visit (other): Certified nurse practitioner in my general practitioner's office.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-25
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-30
- 2022-06-02
- 2022-07-23
-
2022-09-27
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-20
- 2022-10-20
- 2022-10-27
- 2022-11-08
- 2022-12-28
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pre-existing disease, SARS-CoV-2 test positive, Sinus disorder — Feeling: Good · 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 consultationMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Be 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)
- 2023-03-31
-
2023-04-04
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-27 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): The rash hardly seems like a rash, but I have what seems to be extremely tiny dry bumps. They are not itchy, but I found them scratching what felt like dry, rough skin. The area is predominantly on the front of my left arm and near the fold of my arm. It is not swollen and has no generalized redness. I have noticed an increase in nasal runniness and congestion improved by nasal irrigation and normal for me, but worse this week, whether a coincidence or not.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The timing of this check-in isnt allowing me to report that I had fever for a day and a half starting 17 hours after my shot.
Release 11 — 12 months, dose 2
Symptoms: I'm currently being treated for strep throat.
Healthcare visit (other): Primary care physician
Release 11 — day 7, dose 4
Systemic reaction (other): This assessment is 7 days after my 4th shot. I was unable to work, experienced tinnitus, fever, fatigue, and my injection site was swollen and itchy for a good 4 days.
Release 11 — day 28, dose 4
Symptoms: I developed a urinary tract infection, with symptoms being telltale urine odor, some cloudiness, and fever, with blood and leukocytes detected in my urine. (The culture has not returned yet).
Healthcare visit (other): Certified nurse practitioner in my general practitioner's office.
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 | Blood urine present | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | Urine abnormality | · | · | ✓ |
| SD | Urine odour abnormal | · | · | ✓ |
| SD | White blood cells urine abnormal | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Impaired work ability | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release