3U3-24917-76177
5 vaccinations
13 coded responses
50 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-13
Dose 1 — Moderna
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2021-02-15
Registered in v-safe
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, DiarrheaAdult check-in
- 2021-02-18
- 2021-02-22
- 2021-02-27
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2021-03-13
Dose 2 — Moderna
- 2021-03-13
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2021-03-14
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, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Shooting pains overall.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-27
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat. Feeling cold-like symptoms. No cold materialized. Stuffy head. Continued dizziness. Continued body aches. Continued tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
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2021-04-19
Survey response — day 35, dose 2MedDRA: Dizziness, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizziness. Headaches. Fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-06-12
- 2021-09-11
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2021-10-27
Dose 3 — ModernaCo-administered: Flu
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
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2021-11-03
Health check-in — day 7, dose 3Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
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2022-01-31
Survey response — 3 months, dose 3MedDRA: Cough, Headache, Nasopharyngitis — Feeling: FairFree text: Cold symptoms, headachy, small cough.MedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Dose 4 — Moderna
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
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2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Abdominal painAdult check-in
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2022-04-21
Health check-in — day 7, dose 4Feeling: Fair · Site: Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2022-04-28
Survey response — day 14, dose 4MedDRA: Unevaluable event — Feeling: FairFree text: Ongoing stomach and intestinalMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-21
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2022-05-26
Survey response — day 42, dose 4MedDRA: Cough, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: We all have a cold and cough right now Not tested positive for covidMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Survey response — 3 months, dose 4MedDRA: Anxiety, COVID-19, Dizziness, Fatigue, Malaise — 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: I had Covid in June I received Paxlovid which really helped. I was getting very sick very fast and worried about getting worse. After 2 days on Paxlovid I began to improve quickly. But I'm still tired, dizzyMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Report sent to call center — 3 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)
- 2022-07-15
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2022-10-15
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Dose 5 — ModernaCo-administered: Flu
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2022-10-25
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-30
Health check-in — day 7, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-06
- 2022-11-13
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2022-11-20
Survey response — day 28, dose 5MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Running nose and dry coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-29
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2023-01-23
Survey response — 3 months, dose 5MedDRA: Blood cholesterol increased, Blood glucose increased, Deafness, Respiratory syncytial virus infection — 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 visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-23
Report sent to call center — 3 months, dose 5Be 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 · Emergency room or emergency department visit · 1 call case(s)
- 2023-01-24
- 2023-01-24
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2023-04-23
Survey response — 6 months, dose 5MedDRA: Bronchitis, Cough, Ear disorder, Pneumonia, Respiratory syncytial virus infection, Sudden hearing loss, Unevaluable event — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-23
Report sent to call center — 6 months, dose 5Be 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 · Emergency room or emergency department visit · 1 call case(s)
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2023-04-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-04-24
Call successfulCompleted over the phone
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2023-04-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
| 4 | 2022-04-14 | Moderna | No |
| 5 | 2022-10-23 | Moderna | Flu |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Shooting pains overall.
Systemic reaction (other): Dizzy
Systemic reaction (other): Dizziness
Release 6 — day 14, dose 2
Symptoms: Sore throat. Feeling cold-like symptoms. No cold materialized. Stuffy head. Continued dizziness. Continued body aches. Continued tiredness.
Release 7 — day 35, dose 2
Symptoms: Dizziness. Headaches. Fatigue.
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms, headachy, small cough.
Release 11 — day 14, dose 4
Symptoms: Ongoing stomach and intestinal
Release 11 — day 42, dose 4
Symptoms: We all have a cold and cough right now Not tested positive for covid
Release 12 — 3 months, dose 4
Symptoms: I had Covid in June I received Paxlovid which really helped. I was getting very sick very fast and worried about getting worse. After 2 days on Paxlovid I began to improve quickly. But I'm still tired, dizzy
Release 12 — 6 months, dose 4
Symptoms: Covid
Release 12 — day 28, dose 5
Symptoms: Running nose and dry cough
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 | Cough | · | · | ✓ |
| HCVO | Ear disorder | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Anxiety | · | · | ✓ |
| SD | Blood cholesterol increased | · | · | ✓ |
| SD | Blood glucose increased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Deafness | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sudden hearing loss | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release