3QC-99383-15736
5 vaccinations
8 coded responses
61 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
-
2021-01-11
Survey response — day 0, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · HeadacheFree text: Have had a mild headache many days due to allergies. Not new since vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: Mild dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-13
- 2021-08-11
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Low appetiteMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — day 42, dose 3MedDRA: Headache — Feeling: FairFree text: Have been having headaches. Suspect unrelated.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Computerised tomogram abdomen abnormal, Ovarian cyst, Pre-existing disease, Ultrasound ovary abnormal — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 3.3 cm ovarian cyst discovered on CT (then u/s) when doing scan for known kidney stones. I assume unrelated to covid/vaccine, but am reporting nevertheless.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-26
-
2022-04-25
Survey response — 6 months, dose 3MedDRA: Ingrowing nail, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ingrown toenail requiring an in-office procedure to correctMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-26
-
2022-05-05
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-06-02
Dose 4 — Pfizer-BioNTech
- 2022-06-02
-
2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-08
- 2022-06-09
- 2022-06-16
-
2022-06-23
Survey response — day 21, dose 4MedDRA: Oropharyngeal pain, Pharyngeal erythema — Feeling: GoodFree text: Slightly sore throat (with some redness) this am, but otherwise feel fine. Rapid test was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-09-01
-
2022-09-18
Dose 5 — Moderna
- 2022-10-02
- 2022-10-09
- 2022-10-16
- 2022-10-23
- 2022-10-30
-
2022-12-18
Survey response — 3 months, dose 5MedDRA: Chronic kidney disease, Lithotripsy, Nephrolithiasis, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, 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: Diagnosed with chronic kidney disease ( I think that was after my last check in) and developed a kidney stone that required lithotripsy. Both are understood to be related to my existing hypoparathyroidism. · Healthcare visit (other): Outpatient lithotripsy in a hospital.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-18
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-06-02 | Pfizer-BioNTech | No |
| 5 | 2022-09-18 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Have had a mild headache many days due to allergies. Not new since vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Mild dizziness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Low appetite
Release 10 — day 42, dose 3
Symptoms: Have been having headaches. Suspect unrelated.
Release 11 — 3 months, dose 3
Symptoms: 3.3 cm ovarian cyst discovered on CT (then u/s) when doing scan for known kidney stones. I assume unrelated to covid/vaccine, but am reporting nevertheless.
Release 11 — 6 months, dose 3
Symptoms: Ingrown toenail requiring an in-office procedure to correct
Release 12 — day 21, dose 4
Symptoms: Slightly sore throat (with some redness) this am, but otherwise feel fine. Rapid test was negative.
Release 12 — 3 months, dose 5
Symptoms: Diagnosed with chronic kidney disease ( I think that was after my last check in) and developed a kidney stone that required lithotripsy. Both are understood to be related to my existing hypoparathyroidism.
Healthcare visit (other): Outpatient lithotripsy in a hospital.
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 | Lithotripsy | · | · | ✓ |
| SD | Chronic kidney disease | · | · | ✓ |
| SD | Computerised tomogram abdomen abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Ingrowing nail | · | · | ✓ |
| SD | Lithotripsy | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst | · | · | ✓ |
| SD | Pharyngeal erythema | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Ultrasound ovary abnormal | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | ○ | ○ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release