3GM-18302-97546
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 453 / OH
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Medical observation — Feeling: Poor · Fever · Chills, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Went to laboratory to check and make sure its not a kidney infection but have to drop off the sample tomorrow. Talk to Dr. on callMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be 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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2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Kidney infection, Unevaluable event — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · 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 consultationFree text: The symptoms that started the day after my vaccine intertwine with a kidney infection. Can there be a link? Probably notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Report sent to call center — days 1–6 daily, dose 1Be 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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2021-01-21
Health check-in — day 7, dose 1Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
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2021-02-11
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Poor · Fever · Chills · Be unable to workFree text: This started less than 2 hours after the vaccine injection!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Kidney infection, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever 101, but it's only 3PM and often goes up in the evening. I would like to be contacted by the CDC re kidney infection following vaccine. I know two other people who've had this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-24
Call successfulParticipant prefers to complete VAERS report online
- 2021-03-25
- 2021-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna |
Call center
5 call center cases
5 successful
Free text
Release 2 — days 1–6 daily, dose 1
Healthcare visit (other): Went to laboratory to check and make sure its not a kidney infection but have to drop off the sample tomorrow. Talk to Dr. on call
Systemic reaction (other): The symptoms that started the day after my vaccine intertwine with a kidney infection. Can there be a link? Probably not
Release 4 — day 0, dose 2
Systemic reaction (other): This started less than 2 hours after the vaccine injection!
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever 101, but it's only 3PM and often goes up in the evening. I would like to be contacted by the CDC re kidney infection following vaccine. I know two other people who've had this.
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 observation | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Kidney infection | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release