3ST-15760-94733
2 vaccinations
13 coded responses
25 check-ins
13 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 729 / AR
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
- 2021-01-14
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-17
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Genitourinary symptom — Feeling: GoodFree text: Urinary symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
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2021-01-22
Survey response — day 7, dose 1MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Exposed to Covid. · Healthcare visit (other): Covid testing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 14, dose 1MedDRA: COVID-19, Fatigue, Headache, Pain, SARS-CoV-2 test, SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Body aches, headache, fatigue, Covid 19 + · Healthcare visit (other): Had COVID 19 test doneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, fatigue and congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
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2021-02-18
Dose 2 — Moderna
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Injection site sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Hypoaesthesia, Pain in extremity — Feeling: GoodFree text: Pain in lower legs numbness and metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
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2021-02-27
Survey response — day 7, dose 2MedDRA: Myalgia, Neck pain — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Muscle pain in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-11
Survey response — day 21, dose 2MedDRA: Dizziness, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness. With chronic fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — day 28, dose 2MedDRA: Fatigue, Myalgia — Feeling: GoodFree text: Muscle pain and fatigue still.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: FairFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
- 2021-05-20
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2021-06-04
Call successfulDoes not wish to fill out VAERS report
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Dizziness, Fatigue, Gait disturbance, Office visit, Visual acuity reduced — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Dizziness, chronic fatigue, gait abnormality, visual acuity issues. · Healthcare visit (other): Clinic doctorMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
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2021-08-26
Callback requested for12:00PM ET
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2021-08-26
Call successfulCompleted over the phone
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2022-02-18
Survey response — 12 months, dose 2MedDRA: Dizziness, Gait disturbance, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Gait abnormality and dizziness. · Healthcare visit (other): NeurologistMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
4 call center cases
3 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Urinary symptoms
Release 2 — day 7, dose 1
Release 2 — day 14, dose 1
Symptoms: Body aches, headache, fatigue, Covid 19 +
Healthcare visit (other): Had COVID 19 test done
Release 3 — day 21, dose 1
Symptoms: Headache, fatigue and congestion
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site soreness
Systemic reaction (other): Pain in lower legs numbness and metallic taste in mouth
Systemic reaction (other): Dizziness
Release 4 — day 7, dose 2
Systemic reaction (other): Muscle pain in neck
Release 5 — day 21, dose 2
Symptoms: Dizziness. With chronic fatigue.
Release 5 — day 28, dose 2
Symptoms: Muscle pain and fatigue still.
Release 6 — day 35, dose 2
Symptoms: Fatigue
Release 9 — 6 months, dose 2
Symptoms: Dizziness, chronic fatigue, gait abnormality, visual acuity issues.
Healthcare visit (other): Clinic doctor
Release 11 — 12 months, dose 2
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 | Office visit | ✓ | · | ✓ |
| HCVO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ○ | ✓ | ○ |
| SD | Visual acuity reduced | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Genitourinary symptom | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release