42D-26084-28146
3 vaccinations
9 coded responses
37 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Dose 1 — Moderna
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2021-02-27
Registered in v-safe
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
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2021-03-19
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Pruritus — Feeling: GoodFree text: Seem to have developed a sensitivity to my calcium pills (citracal). I itch around the face and chest after taking one. Stopped for now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
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2021-06-25
Survey response — 3 months, dose 2MedDRA: Office visit, Pruritus, Rash, Self-medication — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Itching, mostly my hands and wrists and forearms. Often on my front/trunk of my body or hips. Sometimes a slight rash. This has been since the original symptoms faded, i originally thought it might be dry skin but im taking benadryl almost every day · Healthcare visit (other): Normal visit scheduled with my allergist next week, dermatologist last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-30
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2021-09-24
Survey response — 6 months, dose 2MedDRA: Arthropod sting, Hypersensitivity, Nasopharyngitis, Office visit, Pruritus, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Itching never really went away. My allergic reactions to everything seem much stronger than they used to be precovid shots. Ive even had hives when i caught a cold laye july and i reacted strongly to a wasp sting which ive never done before. · Healthcare visit (other): In office visit with allergistMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-09-27
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2021-09-29
Call successfulParticipant prefers to complete VAERS report online
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2021-12-10
Dose 3 — Moderna
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site pain, Pain, Pruritus, Pyrexia, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: The day after the shot, the injection site was very painful, i had a mild fever, aches, pains, fatigue, significant itching and rash. The next day (yesterday), it was all mostly gone.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Rash, not including the immediate area around the injection siteAdult check-in
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2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-12-17
Health check-in — day 7, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-24
- 2021-12-31
- 2022-01-07
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2022-01-14
Survey response — day 35, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Itching has been worse this past few days. It never completely goes away and I'm still on antihistamines to control it.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-21
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2022-03-11
Survey response — 3 months, dose 3MedDRA: Abdominal discomfort, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Gastrointestinal distress, aching, tiredness as of 3/8/22.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-10
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2022-12-10
Survey response — 12 months, dose 3MedDRA: Cough, Headache, Pyrexia, SARS-CoV-2 test positive, Sinusitis — 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 consultationFree text: I tested positive for Covid on 9/1/22. Slight fever, massive headache for 4 days, cough for 2 weeks, developed a sinus infection.MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 12 months, dose 3Be 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)
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2022-12-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 21, dose 1
Symptoms: Seem to have developed a sensitivity to my calcium pills (citracal). I itch around the face and chest after taking one. Stopped for now.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite
Systemic reaction (other): Loss of appetite
Release 9 — 3 months, dose 2
Symptoms: Itching, mostly my hands and wrists and forearms. Often on my front/trunk of my body or hips. Sometimes a slight rash. This has been since the original symptoms faded, i originally thought it might be dry skin but im taking benadryl almost every day cut off by CDC
Healthcare visit (other): Normal visit scheduled with my allergist next week, dermatologist last week.
Release 9 — 6 months, dose 2
Symptoms: Itching never really went away. My allergic reactions to everything seem much stronger than they used to be precovid shots. Ive even had hives when i caught a cold laye july and i reacted strongly to a wasp sting which ive never done before.
Healthcare visit (other): In office visit with allergist
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after the shot, the injection site was very painful, i had a mild fever, aches, pains, fatigue, significant itching and rash. The next day (yesterday), it was all mostly gone.
Release 10 — day 35, dose 3
Symptoms: Itching has been worse this past few days. It never completely goes away and I'm still on antihistamines to control it.
Release 11 — 3 months, dose 3
Symptoms: Gastrointestinal distress, aching, tiredness as of 3/8/22.
Release 12 — 12 months, dose 3
Symptoms: I tested positive for Covid on 9/1/22. Slight fever, massive headache for 4 days, cough for 2 weeks, developed a sinus infection.
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 | ✓ | ✓ | ✓ |
| SD | Abdominal discomfort | · | · | ✓ |
| SD | Arthropod sting | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release