3R5-75197-02251
3 vaccinations
5 coded responses
13 check-ins
5 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 379 / TN
- Registered
- 2021-09-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-20
Dose 1 — Moderna
-
2021-09-24
Dose 2 — Moderna
-
2021-09-26
Registered in v-safe
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2021-09-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
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2021-09-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-09-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-10-01
-
2021-10-08
Survey response — day 14, dose 2MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, sore throat, slight feverMedDRA releases: 2024-11 · check-in free text available
-
2021-10-08
Report sent to call center — day 14, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-15
Survey response — day 21, dose 2MedDRA: Cough, Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, 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: Cough, fatigue, headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-10-15
Report sent to call center — day 21, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-21
- 2021-10-22
-
2021-10-29
Survey response — day 35, dose 2MedDRA: Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-02
- 2021-11-05
- 2021-12-24
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2022-03-25
Survey response — 6 months, dose 2MedDRA: Ear infection, Gastroenteritis viral, Sinusitis — Feeling: Good · Be unable to work or attend school, 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: Two sinus infections, an ear infection, and a stomach bugMedDRA releases: 2024-11 · check-in free text available
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2022-03-25
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-26
Dose 3 — Moderna
- 2022-03-28
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2022-05-04
Survey response — day 35, dose 3MedDRA: Fatigue, Nausea — 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 · Outpatient clinic or urgent care clinic visitFree text: Extreme fatigue and nausea.MedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-05
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2022-05-05
Call successfulParticipant prefers to complete VAERS report online
- 2023-03-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-20 | Moderna | No |
| 2 | 2021-09-24 | Moderna | No |
| 3 | 2022-03-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-08 | Successful | Does not wish to fill out VAERS report |
| 2021-10-15 | Successful | Does not wish to fill out VAERS report |
| 2021-10-29 | Successful | Does not wish to fill out VAERS report |
| 2022-03-25 | Successful | Does not wish to fill out VAERS report |
| 2022-05-04 | Successful 2022-05-05 |
Participant prefers to complete VAERS report online |
Free text
Release 10 — day 14, dose 2
Symptoms: Cough, sore throat, slight fever
Release 10 — day 21, dose 2
Symptoms: Cough, fatigue, headache
Release 10 — day 35, dose 2
Symptoms: Sinus infection
Release 11 — 6 months, dose 2
Symptoms: Two sinus infections, an ear infection, and a stomach bug
Release 11 — day 35, dose 3
Symptoms: Extreme fatigue and nausea.
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 | Cough | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release