3EV-28810-87284
5 vaccinations
8 coded responses
53 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 372 / TN
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Increased appetite, Thirst — Feeling: Good · Fatigue or tirednessFree text: Thirsty. Feel hungry more than usual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Paranasal sinus discomfort — Feeling: Fair · HeadacheFree text: Headache probably weather related sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-03-29
Dose 2 — Moderna
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Thirst — Feeling: GoodFree text: Thirsty the first days after vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-27
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Decreased appetite, Fatigue, Headache, Influenza like illness — Feeling: Fair · Nausea · Be unable to do your normal daily activitiesFree text: About 12 hours after the injection I experienced mild flu like symptoms: headache, joint pain, loss of appetite, fatigue. The symptoms lasted about 24 hours then subsided with only slight fatigue and loss of appetite lingering.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
-
2021-11-02
Survey response — day 7, dose 3MedDRA: Paranasal sinus discomfort — Feeling: GoodFree text: Sinus pressureMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
-
2021-11-23
Survey response — day 28, dose 3MedDRA: Hyperaesthesia teeth, Office visit, Paranasal sinus discomfort — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus pressure on upper teeth causing sensitivity. · Healthcare visit (other): Dental checkup and antibioticsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-23
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-29
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
-
2022-06-07
Dose 4 — Moderna
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
- 2022-07-19
- 2022-09-06
-
2022-11-01
Dose 5 — Moderna
-
2022-11-03
Survey response — days 1–6 daily, dose 5MedDRA: Dysgeusia — Feeling: Fair · NauseaFree text: Unpleasant taste in mouthMedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-08
- 2022-11-15
- 2022-11-22
- 2022-12-01
- 2022-12-06
- 2022-12-16
- 2023-01-31
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-06-07 | Moderna | No |
| 5 | 2022-11-01 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Thirsty. Feel hungry more than usual.
Systemic reaction (other): Headache probably weather related sinus pressure
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Thirsty the first days after vaccination
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): About 12 hours after the injection I experienced mild flu like symptoms: headache, joint pain, loss of appetite, fatigue. The symptoms lasted about 24 hours then subsided with only slight fatigue and loss of appetite lingering.
Release 10 — day 7, dose 3
Systemic reaction (other): Sinus pressure
Release 10 — day 28, dose 3
Symptoms: Sinus pressure on upper teeth causing sensitivity.
Healthcare visit (other): Dental checkup and antibiotics
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Unpleasant taste in mouth
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 | Hyperaesthesia teeth | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dysgeusia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Increased appetite | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release