3S2-93486-92793
3 vaccinations
9 coded responses
27 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 852 / AZ
- Registered
- 2021-05-05
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-28
Dose 1 — Moderna
-
2021-05-05
Registered in v-safe
-
2021-05-05
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-12
- 2021-05-21
- 2021-05-26
-
2021-06-01
Dose 2 — Moderna
-
2021-06-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-06-03
Survey response — days 1–6 daily, dose 2MedDRA: Poor quality sleep, Restlessness — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to workFree text: Restless, unable to sleep at. I toss and turn.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Survey response — days 1–6 daily, dose 2MedDRA: Muscle twitching — Feeling: Fair · Fatigue or tirednessFree text: Muscle twitching in my left bicep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-06
-
2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Restlessness, Sleep inertia, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Restlessness, trouble sleeping and when asleep trouble waking up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — day 7, dose 2MedDRA: Insomnia, Restlessness, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to workFree text: Restlessness, sometimes unable to sleep and difficulty getting up in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-07-06
- 2021-07-13
-
2021-09-02
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Musculoskeletal stiffness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Developed throbbing headache yesterday/last night and stiffness in my lower back( couple of days) fatigue.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-30
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2022-01-21
Dose 3 — Moderna
-
2022-01-26
Survey response — days 1–6 daily, dose 3MedDRA: Back pain, Pain in extremity — Feeling: Fair · Site: Swelling · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I've had some pain in my upper left back side around my upper left rib cage and the back of my right calcaneus heel.MedDRA releases: 2024-11 · check-in free text available
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2022-01-27
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal chest pain — Feeling: Fair · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I still have pain in my upper left back side on my rib cage.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — day 7, dose 3MedDRA: Back pain, Musculoskeletal chest pain — Feeling: Good · Fatigue or tirednessFree text: The pain I was having on my upper back region inside my rib cage is going away.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-02-11
- 2022-02-18
- 2022-02-25
- 2022-03-04
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2022-04-24
Survey response — 3 months, dose 3MedDRA: Depression, Fatigue, Rhinorrhoea, Sneezing — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Some running nose, sneezing, tiredness, going through depression.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 3 months, dose 3Be 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)
- 2022-04-26
- 2022-04-27
-
2022-04-27
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-28 | Moderna | |
| 2 | 2021-06-01 | Moderna | |
| 3 | 2022-01-21 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Restless, unable to sleep at. I toss and turn.
Systemic reaction (other): Muscle twitching in my left bicep.
Systemic reaction (other): Restlessness, trouble sleeping and when asleep trouble waking up.
Release 8 — day 7, dose 2
Systemic reaction (other): Restlessness, sometimes unable to sleep and difficulty getting up in the morning.
Release 9 — 3 months, dose 2
Symptoms: Developed throbbing headache yesterday/last night and stiffness in my lower back( couple of days) fatigue.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): I've had some pain in my upper left back side around my upper left rib cage and the back of my right calcaneus heel.
Systemic reaction (other): I still have pain in my upper left back side on my rib cage.
Release 11 — day 7, dose 3
Systemic reaction (other): The pain I was having on my upper back region inside my rib cage is going away.
Release 11 — 3 months, dose 3
Symptoms: Some running nose, sneezing, tiredness, going through depression.
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 | Depression | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
| SRO | Sleep inertia | ○ | ✓ | ○ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release