3JJ-64800-44182
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
- 2021-03-03
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Very little muscle aches here and thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
- 2021-03-31
- 2021-04-02
- 2021-04-03
- 2021-04-05
-
2021-04-06
Health check-in — day 7, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-22
-
2021-04-27
Survey response — day 28, dose 2MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intestinal problem and lower bowel.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-06-29
-
2021-09-28
Survey response — 6 months, dose 2MedDRA: Headache, Oropharyngeal pain, Respiratory disorder, Sinus disorder, Unevaluable event — Feeling: Poor · 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: Symptoms: Sore throat, headache, sinuses, and upper respiratory. · Healthcare visit (other): Going for Covid 19 test recommended by family physicianMedDRA releases: 2024-11 · check-in free text available
-
2021-09-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-01
-
2021-11-14
Dose 3 — Moderna
-
2022-04-03
Survey response — 12 months, dose 2MedDRA: Ear pain, Malaise, Oropharyngeal pain, Pulmonary pain — Feeling: Poor · 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: Ill at the moment. Sore throat, ears, and upper respiratory, for two weeks. Taking Amoxicillan and methylprednisolone.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-03
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-05
Call successfulReported to VAERS during previous contact from GDIT
-
2022-04-05
Call successfulReported to VAERS during previous contact from GDIT
-
2022-11-14
Survey response — 12 months, dose 3MedDRA: COVID-19, Malaise — Feeling: Good · 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: On May 31st I was ill with Covid. Had it really bad for at least 2 weeks. I had both vaccines and a booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-14
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-14 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Very little muscle aches here and there
Release 8 — day 28, dose 2
Symptoms: Intestinal problem and lower bowel.
Release 9 — 6 months, dose 2
Symptoms: Sore throat, headache, sinuses, and upper respiratory.
Healthcare visit (other): Going for Covid 19 test recommended by family physician
Release 11 — 12 months, dose 2
Symptoms: Ill at the moment. Sore throat, ears, and upper respiratory, for two weeks. Taking Amoxicillan and methylprednisolone.
Release 12 — 12 months, dose 3
Symptoms: On May 31st I was ill with Covid. Had it really bad for at least 2 weeks. I had both vaccines and a booster.
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 | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pulmonary pain | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release