3ML-22299-59154
5 vaccinations
9 coded responses
69 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 626 / IL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Good · HeadacheFree text: Mildly upset stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
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2021-02-12
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Macular rash at vaccination site occurred yesterday. It is not prioritizing or raised. It is Apx 5 cm in size. It is unchanged over the last 30 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — day 21, dose 1MedDRA: Contusion — Feeling: GoodFree text: Large bruise on same arm as vaccine. Not at vaccination site. I dont think Ive bumped that arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Dose 2 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Hives on my faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · HeadacheAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Redness · HeadacheFree text: Symptoms better dailyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-05
Health check-in — day 7, dose 2Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Vaccination site bruising — Feeling: GoodFree text: Bruise has shown up in area of vaccination siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-11-04
Dose 3 — Moderna
- 2021-11-04
-
2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · NauseaAdult check-in
- 2021-11-07
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Migraine — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Migraine type headache 3amMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
-
2022-05-16
Dose 4 — Moderna
- 2022-05-16
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2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
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2022-06-13
Survey response — day 28, dose 4MedDRA: Herpes zoster — Feeling: Good · 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: Mild case of shingles. I have been vaccinated and am completing a course valacyclovirMedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-14
-
2022-06-14
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-20
- 2022-06-27
- 2022-08-15
- 2022-11-14
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2022-12-02
Dose 5 — Moderna
- 2022-12-02
-
2022-12-03
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-12-04
- 2022-12-05
- 2022-12-06
- 2022-12-07
- 2022-12-08
- 2022-12-09
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2022-12-16
Survey response — day 14, dose 5MedDRA: Diarrhoea, Headache, Medical counselling, Pyrexia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Diarrhea headache low grade fever for the past day · Healthcare visit (other): Telephone callMedDRA releases: 2024-11 · check-in free text available
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2022-12-16
Report sent to call center — day 14, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-12-19
- 2022-12-23
- 2022-12-31
- 2023-01-06
- 2023-01-13
- 2023-03-03
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-12-02 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Mildly upset stomach
Release 4 — day 14, dose 1
Symptoms: Macular rash at vaccination site occurred yesterday. It is not prioritizing or raised. It is Apx 5 cm in size. It is unchanged over the last 30 hrs
Release 4 — day 21, dose 1
Symptoms: Large bruise on same arm as vaccine. Not at vaccination site. I dont think Ive bumped that arm.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Hives on my face
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Symptoms better daily
Release 5 — day 21, dose 2
Symptoms: Bruise has shown up in area of vaccination site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Migraine type headache 3am
Release 12 — day 28, dose 4
Symptoms: Mild case of shingles. I have been vaccinated and am completing a course valacyclovir
Release 12 — day 14, dose 5
Symptoms: Diarrhea headache low grade fever for the past day
Healthcare visit (other): Telephone call
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 | Contusion | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vaccination site bruising | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release