3NM-19824-90525
5 vaccinations
12 coded responses
60 check-ins
12 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 019 / MA
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-25
Dose 1 — Moderna
-
2021-01-26
Registered in v-safe
- 2021-01-26
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · DiarrheaAdult check-in
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Muscle or body achesFree text: Strangely, my right upper arm ached for several hours today. Strange because I got the injection in the left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Pollakiuria — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have had to urinate often today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Good · Site: PainFree text: I forgot to mention on Tuesday, Feb 23, I had heart palpitations. None yesterday or today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-30
- 2021-04-05
- 2021-05-24
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2021-08-23
Survey response — 6 months, dose 2MedDRA: Emergency care, Office visit, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: For the past four weeks I have had vertigo off and on. I am being treated for it. I have been evaluated by my pcp, ER doctor and am seeing a vertigo therapist. · Healthcare visit (other): In-person visit with my pcp and a vertigo therapist.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-30
-
2021-08-31
Call successfulDoes not wish to fill out VAERS report
-
2021-10-16
Dose 3 — Moderna
- 2021-10-27
- 2021-10-31
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
-
2022-01-15
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: GoodFree text: A few weeks ago I had a cold: just a runny nose for a week or so. No other symptoms, no fever or chills.MedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Survey response — 6 months, dose 3MedDRA: Cough, Influenza virus test negative, Nasopharyngitis, Office visit, Oropharyngeal pain, SARS-CoV-2 test negative, Sinus congestion, Sinusitis, Upper-airway cough syndrome — 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: Symptoms: I had a cold/sinus infection that lasted about five weeks. Sinus congestion, cough, sore throat and post nasal drip. I saw my pcp who tested me for Covid twice and flu and strep all negative. I also did home Covid test three times: all negative. · Healthcare visit (other): Also saw my pcp in office visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-16
Report sent to call center — 6 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)
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2022-04-18
Dose 4 — Moderna
- 2022-04-18
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fever · DiarrheaAdult check-in
-
2022-04-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-07-18
- 2022-10-17
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2022-10-20
Dose 5 — Moderna
- 2022-10-20
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2022-10-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body achesAdult check-in
- 2022-10-24
-
2022-10-25
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation — 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: I have a sore, scratchy throat with a slight tickly cough. Also have a runny nose. I did a home Covid test and I tested positive.MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — days 1–6 daily, dose 5Be 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)
-
2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I still have runny nose, slight cough with a tickly throat due to testing positive for Covid on 10/25. My healthcare provider prescribed Paxlovid for me.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — day 7, dose 5MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have a slight cough and runny nose. I tested positive for Covid on Oct. 25th.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Call successfulCompleted over the phone
- 2022-11-03
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2022-11-10
Survey response — day 21, dose 5MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Throat irritation — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore, scratchy throat, runny nose, cough and head congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Report sent to call center — day 21, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-11
Call successfulReported to VAERS during previous contact from GDIT
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2022-11-19
Survey response — day 28, dose 5MedDRA: Cough, Fatigue, Headache, Pyrexia, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Headache, fever, cough, sinus congestion, fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Report sent to call center — day 28, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
-
2022-11-21
Call successfulReported to VAERS during previous contact from GDIT
- 2022-11-26
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-16 | Moderna | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-10-20 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 3
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Strangely, my right upper arm ached for several hours today. Strange because I got the injection in the left arm.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have had to urinate often today.
Systemic reaction (other): Sore throat
Systemic reaction (other): I forgot to mention on Tuesday, Feb 23, I had heart palpitations. None yesterday or today.
Release 9 — 6 months, dose 2
Symptoms: For the past four weeks I have had vertigo off and on. I am being treated for it. I have been evaluated by my pcp, ER doctor and am seeing a vertigo therapist.
Healthcare visit (other): In-person visit with my pcp and a vertigo therapist.
Release 10 — 3 months, dose 3
Symptoms: A few weeks ago I had a cold: just a runny nose for a week or so. No other symptoms, no fever or chills.
Release 11 — 6 months, dose 3
Symptoms: I had a cold/sinus infection that lasted about five weeks. Sinus congestion, cough, sore throat and post nasal drip. I saw my pcp who tested me for Covid twice and flu and strep all negative. I also did home Covid test three times: all negative.
Healthcare visit (other): Also saw my pcp in office visit
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have a sore, scratchy throat with a slight tickly cough. Also have a runny nose. I did a home Covid test and I tested positive.
Systemic reaction (other): I still have runny nose, slight cough with a tickly throat due to testing positive for Covid on 10/25. My healthcare provider prescribed Paxlovid for me.
Release 12 — day 7, dose 5
Systemic reaction (other): I have a slight cough and runny nose. I tested positive for Covid on Oct. 25th.
Release 12 — day 21, dose 5
Symptoms: Sore, scratchy throat, runny nose, cough and head congestion.
Release 12 — day 28, dose 5
Symptoms: Headache, fever, cough, sinus congestion, fatigue.
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 | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SD | Vertigo | ✓ | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release