3PP-13717-16429
1 vaccination
4 coded responses
10 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 514 / IA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Dose 1 — Moderna
-
2020-12-30
Registered in v-safe
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-01
- 2021-01-02
-
2021-01-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-01-04
-
2021-01-11
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Middle insomnia — Feeling: GoodFree text: Last check in was 1/4 at 6:15pm. I had to go to bed at 6:45 due to extreme fatigue. I woke up during the night with a terrible headache. Headache persisted through out 1/5. I have felt pretty good since 1/5MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Survey response — day 21, dose 1MedDRA: Headache, Self-medication — Feeling: FairFree text: Headaches required otc pain medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
Survey response — 6 months, dose 1MedDRA: Inflammation, Parosmia, Pre-existing disease, Sciatica, Taste disorder — 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 consultationFree text: COVID symptoms returned 3 days after 2nd dose. Still have issues with altered smell/taste FIVE months after second injection. 3days post sec inj I also experienced a worsening of sciatic pain. Requires daily NDAIDS to keep inflammation in checkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-02
Call successfulParticipant prefers to complete VAERS report online
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2021-12-30
Survey response — 12 months, dose 1MedDRA: Dry eye, Dry mouth, Mucosal dryness, Nasal dryness — Feeling: FairFree text: Dry eyes, mouth, nose...mucous membranes in general. Similar to sjogren symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 14, dose 1
Symptoms: Last check in was 1/4 at 6:15pm. I had to go to bed at 6:45 due to extreme fatigue. I woke up during the night with a terrible headache. Headache persisted through out 1/5. I have felt pretty good since 1/5
Release 2 — day 21, dose 1
Symptoms: Headaches required otc pain medication
Release 9 — 6 months, dose 1
Symptoms: COVID symptoms returned 3 days after 2nd dose. Still have issues with altered smell/taste FIVE months after second injection. 3days post sec inj I also experienced a worsening of sciatic pain. Requires daily NDAIDS to keep inflammation in check
Release 10 — 12 months, dose 1
Symptoms: Dry eyes, mouth, nose...mucous membranes in general. Similar to sjogren symptoms
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 |
|---|---|---|---|---|
| SD | Dry eye | · | · | ✓ |
| SD | Dry mouth | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Mucosal dryness | · | · | ✓ |
| SD | Nasal dryness | · | · | ✓ |
| SD | Parosmia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Sciatica | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release