3SL-13701-95567
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 363 / AL
- Registered
- 2021-07-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-23
Registered in v-safe
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2021-07-23
Dose 1 — Moderna
- 2021-07-23
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2021-07-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-07-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-07-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-07-30
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2021-08-06
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Self-medication — Feeling: GoodFree text: Severe rash and itching at/around injection site. The rash started small and grew to 3 in diameter. Itching is not relieved using oral or topical antihistamines, nor hydrocortisone cream. Today marks 2 weeks since 1st shot and the rash is going awayMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-13
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2021-08-24
Dose 2 — Moderna
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2021-08-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-08-25
Survey response — days 1–6 daily, dose 2MedDRA: Muscle spasms — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Leg crampsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Survey response — days 1–6 daily, dose 2MedDRA: Influenza like illness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe flu-like symptoms for 24 hoursMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-08-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-08-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-31
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2021-09-07
Survey response — day 14, dose 2MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: MigrainesMedDRA releases: 2024-11 · check-in free text available
- 2021-09-14
- 2021-09-21
- 2021-09-28
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2021-10-07
Survey response — day 42, dose 2MedDRA: Neuralgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Horrible nerve painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
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2022-02-22
Survey response — 6 months, dose 2MedDRA: Arthritis, Asthma, COVID-19, Cardiomegaly, Gout, Lung 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Contacted covid January 22'. Suffering enlarged heart, gout, severe asthma & lung issues, and arthritis since covid.MedDRA releases: 2024-11 · check-in free text available
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2022-02-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-02-24
Call successfulCompleted over the phone
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2022-08-26
Survey response — 12 months, dose 2MedDRA: Fatigue, Muscle spasms — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Severe leg cramps, extreme fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-08-26
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-08-29
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-23 | Moderna | No |
| 2 | 2021-08-24 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — day 14, dose 1
Symptoms: Severe rash and itching at/around injection site. The rash started small and grew to 3 in diameter. Itching is not relieved using oral or topical antihistamines, nor hydrocortisone cream. Today marks 2 weeks since 1st shot and the rash is going away cut off by CDC
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Leg cramps
Systemic reaction (other): Severe flu-like symptoms for 24 hours
Release 9 — day 14, dose 2
Symptoms: Migraines
Release 10 — day 42, dose 2
Symptoms: Horrible nerve pain
Release 11 — 6 months, dose 2
Symptoms: Contacted covid January 22'. Suffering enlarged heart, gout, severe asthma & lung issues, and arthritis since covid.
Release 12 — 12 months, dose 2
Symptoms: Severe leg cramps, extreme fatigue
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 | Arthritis | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cardiomegaly | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gout | · | · | ✓ |
| SD | Injection site pruritus | ✓ | · | ✓ |
| SD | Injection site rash | ✓ | · | ✓ |
| SD | Lung disorder | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Influenza like illness | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release