3HY-15669-54289
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 088 / NJ
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Survey response — day 7, dose 1MedDRA: Injection site induration, Injection site pruritus, Rash erythematous — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Eight days after the injection I see a red rash - with itching and hardness in the injection due.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
-
2021-04-06
Survey response — day 21, dose 2MedDRA: Myalgia — Feeling: GoodFree text: Muscular pain in both arms - especially during sleep and upon wakeningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-22
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Office visit, Tendonitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tendonitis in right arm · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-23
Call successfulParticipant prefers to complete VAERS report online
-
2021-09-14
Survey response — 6 months, dose 2MedDRA: Decreased appetite, Fatigue, Myalgia, Tendonitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Fatigued, muscle aches ( tendinitis), slight loss of appetite · Healthcare visit (other): Monoclonal antibody infusion 8-24-2021MedDRA releases: 2024-11 · check-in free text available
-
2021-09-14
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
-
2021-11-10
Dose 3 — Moderna
- 2022-03-16
-
2022-04-24
Dose 4 — Moderna
- 2022-04-29
- 2022-04-30
- 2022-05-01
-
2022-05-08
Survey response — day 14, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Neurological pain flaring up since 2nd booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
-
2022-05-22
Survey response — day 28, dose 4MedDRA: Cough, Migraine, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Coughing & migraine headache - coughing was probably nasal drip migraine headache activity more frequent since getting COVID vaccinationsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-06-05
- 2022-07-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-24 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Eight days after the injection I see a red rash - with itching and hardness in the injection due.
Release 7 — day 21, dose 2
Symptoms: Muscular pain in both arms - especially during sleep and upon wakening
Release 9 — 3 months, dose 2
Release 9 — 6 months, dose 2
Symptoms: Fatigued, muscle aches ( tendinitis), slight loss of appetite
Healthcare visit (other): Monoclonal antibody infusion 8-24-2021
Release 11 — day 14, dose 4
Symptoms: Neurological pain flaring up since 2nd booster.
Release 11 — day 28, dose 4
Symptoms: Coughing & migraine headache - coughing was probably nasal drip migraine headache activity more frequent since getting COVID vaccinations
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 | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Tendonitis | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release