3RG-23194-96623
5 vaccinations
9 coded responses
59 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 180 / PA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
-
2021-03-30
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site warmth, Pain in extremity — Feeling: GoodFree text: A large red welt rash, itchy and hot at injection site developed evening of the 23rd and lasted until evening of the 26th. My arm was achy for about 24 hours. Completely fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Dose 2 — Moderna
-
2021-04-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · HeadacheAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-20
-
2021-04-27
Survey response — day 21, dose 2MedDRA: Fatigue, Headache, Injection site pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very bad headache and very tired. Pain in shoulder where shot was given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Bad headaches and increased tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-18
- 2021-07-06
-
2021-10-05
Survey response — 6 months, dose 2MedDRA: Arthralgia, Hypoaesthesia, Myalgia, Paraesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Severe joint and muscle pain, also some numbness and tingling in extremitiesMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
-
2022-04-01
Dose 4 — Moderna
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Erythema, Fatigue, Pain in extremity, Pyrexia — Feeling: GoodFree text: After the fourth dose, I had a fever that night. I had a sore, red arm and was very tired for 3 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
-
2022-05-06
Survey response — day 35, dose 4MedDRA: Adverse reaction, Headache — Feeling: FairFree text: Headache and allergy symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-07-01
-
2022-09-30
Survey response — 6 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: Had CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
-
2022-10-04
Call successfulDoes not wish to fill out VAERS report
-
2022-11-14
Dose 5 — Moderna
-
2022-11-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-20
- 2022-11-21
-
2022-11-28
Survey response — day 14, dose 5MedDRA: Pain in extremity, Paraesthesia — Feeling: FairFree text: Ache and tingling in my right arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-02-13
-
2023-05-15
Survey response — 6 months, dose 5MedDRA: Injection site pain, Injection site swelling — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-11-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 21, dose 1
Symptoms: A large red welt rash, itchy and hot at injection site developed evening of the 23rd and lasted until evening of the 26th. My arm was achy for about 24 hours. Completely fine now.
Release 8 — day 21, dose 2
Symptoms: Very bad headache and very tired. Pain in shoulder where shot was given.
Release 8 — day 28, dose 2
Symptoms: Bad headaches and increased tiredness
Release 10 — 6 months, dose 2
Symptoms: Severe joint and muscle pain, also some numbness and tingling in extremities
Release 11 — day 14, dose 4
Symptoms: After the fourth dose, I had a fever that night. I had a sore, red arm and was very tired for 3 days.
Release 11 — day 35, dose 4
Symptoms: Headache and allergy symptoms
Release 12 — 6 months, dose 4
Symptoms: Had Covid
Release 12 — day 14, dose 5
Symptoms: Ache and tingling in my right arm.
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 | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release