3GZ-31349-71572
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 435 / OH
- Registered
- 2021-01-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-31
Registered in v-safe
- 2021-01-31
- 2021-02-01
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2021-02-02
Health check-in — day 7, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-09
Survey response — day 14, dose 1MedDRA: Erythema, Pruritus — Feeling: GoodFree text: I had the COVID arm on days 9-11 post injection. Day 1 of having it was pink and itchy (2 in diameter), day two it was 2.5x3 in diameter not itchy and lighter, day 3 abut the same size, and barely visible.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-02
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-09
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 35, dose 2MedDRA: Dermal cyst — Feeling: GoodFree text: An axillary sebaceous cyst.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-05-25
Survey response — 3 months, dose 2MedDRA: Cyst removal, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I had to have two axillary cysts excised. One of them was here last year, but came back a few months ago and wouldnt clear. · Healthcare visit (other): And ambulatory surgical centerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-24
-
2021-08-25
Dose 3 — ModernaCo-administered: Flu
- 2021-11-24
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2022-02-23
Survey response — 6 months, dose 3MedDRA: Chills, Cough, Dyspnoea, Pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Chills, cough, shortness of breath, body aches, etc. · Healthcare visit (other): COVID test, which was negativeMedDRA releases: 2024-11 · check-in free text available
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2022-02-23
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2022-02-24
Call successfulDoes not wish to fill out VAERS report
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2022-08-25
Survey response — 12 months, dose 3MedDRA: Bronchitis, COVID-19, Malaise, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, 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: Covid like symptoms in January (covid negative), covid positive 7/26/2022, bronchitis (8/16/2022).MedDRA releases: 2024-11 · check-in free text available
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2022-08-25
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-08-26
Call successfulDoes not wish to fill out VAERS report
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2022-08-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-08-25 | Moderna | Flu |
Call center
3 call center cases
3 successful
Free text
Release 3 — day 14, dose 1
Symptoms: I had the COVID arm on days 9-11 post injection. Day 1 of having it was pink and itchy (2 in diameter), day two it was 2.5x3 in diameter not itchy and lighter, day 3 abut the same size, and barely visible.
Release 6 — day 35, dose 2
Symptoms: An axillary sebaceous cyst.
Release 8 — 3 months, dose 2
Symptoms: I had to have two axillary cysts excised. One of them was here last year, but came back a few months ago and wouldnt clear.
Healthcare visit (other): And ambulatory surgical center
Release 11 — 6 months, dose 3
Symptoms: Chills, cough, shortness of breath, body aches, etc.
Healthcare visit (other): COVID test, which was negative
Release 12 — 12 months, dose 3
Symptoms: Covid like symptoms in January (covid negative), covid positive 7/26/2022, bronchitis (8/16/2022).
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 | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Cyst removal | ✓ | ✓ | ✓ |
| SD | Dermal cyst | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release