3BH-53427-11429
4 vaccinations
8 coded responses
45 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 170 / PA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
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2021-01-30
Dose 1 — Moderna
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Hypotension — Feeling: Good · Site: SwellingFree text: Lowered blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure decreased — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Low blood pressuresMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — day 7, dose 1MedDRA: Migraine — Feeling: Poor · HeadacheFree text: Migraine headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-06-18
-
2021-06-19
Callback requested for10:00AM ET
- 2021-06-21
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Blood pressure decreased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: After my initial vaccine in January, my blood pressure had plummeted. My cardiologist removed one of my medications entirely. After 4-5 months, it crept back up. Now I am back to taking my original regimen.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-28
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-31
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-12
Survey response — day 14, dose 3MedDRA: Pre-existing disease — Feeling: GoodFree text: Yesterday, I had an episode of extreme abdominal pain after dinner. Eventually, after a terrible time in the bathroom, it subsided. Now, I am just weak. This may have had nothing to do with the vaccine. It has only happened to me once before.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-25
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-03-29
Dose 4 — Moderna
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2022-04-19
Survey response — day 21, dose 4MedDRA: Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle pain in my hips and legs. · Healthcare visit (other): Primary care Physician and Vascular SurgeonMedDRA releases: 2024-11 · check-in free text available
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2022-04-19
Report sent to call center — day 21, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-22
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2022-04-26
Survey response — day 28, dose 4MedDRA: Back pain, Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Back pain, muscle pain in legs, neck, and shoulder. Had an ultrasound today to rule out blood clots. I attempted to return your call yesterday. · Healthcare visit (other): Todayvascular. Last Monday, my primary care doctor.MedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-28
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2022-05-03
Survey response — day 35, dose 4MedDRA: Myalgia, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Muscle painlegs, back, knees. · Healthcare visit (other): Primary care doctor, vascular doctor, appointments made with orthopedic and rheumatoid doctors.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-04
-
2022-05-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-10
- 2022-06-28
- 2022-09-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-03-29 | Moderna | No |
Call center
5 call center cases
3 successful · 2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Lowered blood pressure
Systemic reaction (other): Low blood pressures
Release 3 — day 7, dose 1
Systemic reaction (other): Migraine headache
Release 9 — 6 months, dose 2
Symptoms: After my initial vaccine in January, my blood pressure had plummeted. My cardiologist removed one of my medications entirely. After 4-5 months, it crept back up. Now I am back to taking my original regimen.
Release 10 — day 14, dose 3
Symptoms: Yesterday, I had an episode of extreme abdominal pain after dinner. Eventually, after a terrible time in the bathroom, it subsided. Now, I am just weak. This may have had nothing to do with the vaccine. It has only happened to me once before.
Release 11 — day 21, dose 4
Symptoms: Muscle pain in my hips and legs.
Healthcare visit (other): Primary care Physician and Vascular Surgeon
Release 11 — day 28, dose 4
Symptoms: Back pain, muscle pain in legs, neck, and shoulder. Had an ultrasound today to rule out blood clots. I attempted to return your call yesterday.
Healthcare visit (other): Todayvascular. Last Monday, my primary care doctor.
Release 11 — day 35, dose 4
Symptoms: Muscle painlegs, back, knees.
Healthcare visit (other): Primary care doctor, vascular doctor, appointments made with orthopedic and rheumatoid doctors.
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 | Back pain | · | · | ✓ |
| SD | Blood pressure decreased | ✓ | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release