3FP-73319-22826
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 800 / CO
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
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2020-12-31
Dose 1 — Moderna
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2020-12-31
Survey response — day 0, dose 1MedDRA: Headache, Pain in extremity, Self-medication — Feeling: Poor · Site: Pain · HeadacheFree text: Took 800 mg ibuprofen and headache pain and arm soreness resolved in 30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: I think my headache can be attributed to the phentermine that I am taking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: I'm getting headaches that I attribute to taking phentermine for international weight loss and it resolves with Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-05
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-07
- 2021-01-16
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2021-01-22
Survey response — day 21, dose 1MedDRA: Headache, Nasal congestion — Feeling: Poor · Be unable to workFree text: A dull constant pJ be headache and nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Dose 2 — Moderna
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2021-01-28
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to workFree text: FlushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-01-29
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth, Sinus disorder — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Its hot around the shot site, sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
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2021-02-25
Survey response — day 28, dose 2MedDRA: Medical counselling, Migraine — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Major migraine, probably due to sinus infection. Scheduled a telehealth appointment for Monday · Healthcare visit (other): Scheduled telehealth appointment for MondayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-07
Survey response — day 35, dose 2MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-11
- 2021-05-01
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2021-06-03
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Call center
4 call center cases
3 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Took 800 mg ibuprofen and headache pain and arm soreness resolved in 30 minutes
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I think my headache can be attributed to the phentermine that I am taking.
Systemic reaction (other): I'm getting headaches that I attribute to taking phentermine for international weight loss and it resolves with Tylenol.
Release 2 — day 21, dose 1
Symptoms: A dull constant pJ be headache and nasal congestion
Release 3 — day 0, dose 2
Systemic reaction (other): Flushing
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Its hot around the shot site, sinus issues
Release 4 — day 28, dose 2
Symptoms: Major migraine, probably due to sinus infection. Scheduled a telehealth appointment for Monday
Healthcare visit (other): Scheduled telehealth appointment for Monday
Release 5 — day 35, dose 2
Symptoms: Sinus infection
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ○ | ○ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release