3BS-22853-95207
6 vaccinations
8 coded responses
69 check-ins
8 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 233 / VA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 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
Survey response — day 35, dose 2MedDRA: Ageusia — Feeling: GoodFree text: Mild loss of tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
-
2021-11-30
Survey response — day 28, dose 3MedDRA: Rhinoplasty — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: I had nasal passage widening operation Nov 22 and only being one week recovery, I am better now.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-30
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2021-12-01
-
2021-12-01
Call successfulParticipant prefers to complete VAERS report online
-
2021-12-07
Survey response — day 35, dose 3MedDRA: Acute sinusitis, Nasal operation — Feeling: Good · Be unable to do your normal daily activitiesFree text: November 22, I had nose surgery which triggered acute sinusitis which I am just recovering from.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2022-02-01
-
2022-04-08
Dose 4 — Moderna
- 2022-04-19
-
2022-04-22
Survey response — day 14, dose 4MedDRA: Body temperature decreased, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: My temperature is running between 97.6 and 100.5. I was tested for covid but will not have the results till Sunday. My in home test shows covid negative. Therefore, we look for something else causing the problem.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Report sent to call center — day 14, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
- 2022-04-30
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-06-28
Dose 5 — Moderna
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-02
- 2022-07-03
- 2022-07-04
- 2022-07-05
-
2022-07-12
Survey response — day 14, dose 5MedDRA: Herpes zoster — Feeling: Good · 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: Shingles around left side of faceMedDRA releases: 2024-11 · check-in free text available
-
2022-07-12
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-13
- 2022-07-13
- 2022-07-21
- 2022-07-27
- 2022-08-03
- 2022-08-09
- 2022-09-27
-
2022-11-18
Dose 6 — Pfizer-BioNTech
- 2022-11-19
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-23
-
2022-11-24
Survey response — days 1–6 daily, dose 6MedDRA: Parosmia — Feeling: GoodFree text: Sense of smell is a little offMedDRA releases: 2024-11 · check-in free text available
-
2022-11-25
Survey response — day 7, dose 6MedDRA: Hyposmia — Feeling: GoodFree text: A little loss sense of smellMedDRA releases: 2024-11 · check-in free text available
-
2022-12-02
Survey response — day 14, dose 6MedDRA: Chills, Insomnia — Feeling: GoodFree text: Chills at night and could not sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-30
- 2023-02-17
- 2023-05-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-06-28 | Moderna | No |
| 6 | 2022-11-18 | Pfizer-BioNTech | No |
Call center
3 call center cases
1 successful · 2 unsuccessful
Free text
Release 6 — day 35, dose 2
Symptoms: Mild loss of taste
Release 10 — day 28, dose 3
Symptoms: I had nasal passage widening operation Nov 22 and only being one week recovery, I am better now.
Release 10 — day 35, dose 3
Symptoms: November 22, I had nose surgery which triggered acute sinusitis which I am just recovering from.
Release 11 — day 14, dose 4
Symptoms: My temperature is running between 97.6 and 100.5. I was tested for covid but will not have the results till Sunday. My in home test shows covid negative. Therefore, we look for something else causing the problem.
Release 12 — day 14, dose 5
Symptoms: Shingles around left side of face
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Sense of smell is a little off
Release 12 — day 7, dose 6
Systemic reaction (other): A little loss sense of smell
Release 12 — day 14, dose 6
Symptoms: Chills at night and could not sleep
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 | Acute sinusitis | · | · | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Body temperature decreased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Nasal operation | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinoplasty | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Hyposmia | · | · | ✓ |
| SRO | Parosmia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release