3WX-13446-36091
4 vaccinations
3 coded responses
49 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 271 / NC
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Registered in v-safe
-
2021-03-01
Dose 1 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-03-29
Dose 2 — Moderna
- 2021-03-29
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Influenza — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Felt like I had the fluMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dont know where to put this but my symptoms besides the arm pain lasted a full 24 hours from first onset (3 am to 3 am) so symptoms werent all of the time since last check inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Probably not related but I had a case of poison ivy that started before I got the second shot and it had started to go away before the shot and now for the past couple of days its been getting a little worse and today it started getting a weird reaction and I went to the doctor to get prednisone. Again this is probably unrelated but felt like I should report itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
-
2021-06-10
Call successfulDoes not wish to fill out VAERS report
- 2021-06-28
- 2021-09-28
-
2021-12-11
Dose 3 — Moderna
- 2021-12-11
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-17
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-03-12
- 2022-06-11
-
2022-09-24
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-26
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-05
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-09-24 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Felt like I had the flu
Systemic reaction (other): Dont know where to put this but my symptoms besides the arm pain lasted a full 24 hours from first onset (3 am to 3 am) so symptoms werent all of the time since last check in
Systemic reaction (other): Probably not related but I had a case of poison ivy that started before I got the second shot and it had started to go away before the shot and now for the past couple of days its been getting a little worse and today it started getting a weird reaction and I went to the doctor to get prednisone. Again this is probably unrelated but felt like I should report it
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 |
|---|---|---|---|---|
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Influenza | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release