3CF-19526-69824
2 vaccinations
10 coded responses
23 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 199 / DE
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-21
Dose 1 — Moderna
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2021-03-22
Registered in v-safe
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site haemorrhage, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I was bruised as soon as I got injected and bleeding I take 81 mg asprinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Bruising at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: ItchingFree text: Bruising still at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: ItchingFree text: Bruising at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: ItchingFree text: Bruising at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — day 14, dose 1MedDRA: Cough, Exposure to SARS-CoV-2 — Feeling: Fair · Be unable to workFree text: I developed a cough I've been exposed to someone who is positive for covid19.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-04-16
Dose 2 — Moderna
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Abdominal painAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-30
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2021-05-07
Survey response — day 21, dose 2MedDRA: Blister, Pain in extremity — Feeling: GoodFree text: I had a blister to come up on my left hand close to my wrist.big toe on right foot aching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 28, dose 2MedDRA: Angina pectoris, Fatigue, Nausea — Feeling: GoodFree text: In the morning when i wake up i feel nauseated,and been having pain around my heart.and feeling really tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Survey response — day 35, dose 2MedDRA: Angina pectoris, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm still having pain in my heart cardiologist scheduled a echocardiogram to be done june 17,2021 · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-28
- 2021-07-16
- 2021-10-15
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2022-04-16
Survey response — 12 months, dose 2MedDRA: Hepatic enzyme increased, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Elevated liver levels · Healthcare visit (other): Ultrasound over liver and OrgansMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-19
- 2022-04-21
- 2022-04-22
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2022-04-22
Callback requested for10:30AM ET
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2022-04-25
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-21 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I was bruised as soon as I got injected and bleeding I take 81 mg asprin
Systemic reaction (other): Bruising at the injection site
Systemic reaction (other): Bruising still at injection site
Systemic reaction (other): Bruising at injection site
Release 6 — day 7, dose 1
Systemic reaction (other): Bruising at the injection site
Release 6 — day 14, dose 1
Symptoms: I developed a cough I've been exposed to someone who is positive for covid19.
Release 8 — day 21, dose 2
Symptoms: I had a blister to come up on my left hand close to my wrist.big toe on right foot aching.
Release 8 — day 28, dose 2
Symptoms: In the morning when i wake up i feel nauseated,and been having pain around my heart.and feeling really tired.
Release 8 — day 35, dose 2
Symptoms: I'm still having pain in my heart cardiologist scheduled a echocardiogram to be done june 17,2021
Healthcare visit (other): Office visit
Release 11 — 12 months, dose 2
Symptoms: Elevated liver levels
Healthcare visit (other): Ultrasound over liver and Organs
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Angina pectoris | ✓ | ✓ | ✓ |
| SD | Blister | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site haemorrhage | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release