43U-14913-52443
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 062 / CT
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-24
- 2021-03-05
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2021-03-13
Survey response — day 21, dose 1MedDRA: Arthritis — Feeling: FairFree text: I find since the first Amiens shot I am feeling much more arthritic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Dose 2 — Moderna
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-03-26
- 2021-04-03
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2021-04-08
Survey response — day 21, dose 2MedDRA: Arthritis — Feeling: FairFree text: I've felt much more arthritic since the second Moderna shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-05-01
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2021-06-24
Survey response — 3 months, dose 2MedDRA: Hepatic enzyme increased, Office visit, Syncope, White blood cell count decreased — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Near syncope, Elevated liver enzymes, and a low white cell count · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-24
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Call successfulParticipant prefers to complete VAERS report online
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2021-09-19
Survey response — 6 months, dose 2MedDRA: Influenza like illness, Lyme disease, Neutropenia, Office visit, Presyncope, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: I was diagnosed with and treated for Lyme disease, which had caused a vasovagil episode, neutropenia, and a flu-like syndrome. I was tested for Covid as well but the test results were negative. After treatment with doxycycline, I feel better. · Healthcare visit (other): Doctors office visits.MedDRA releases: 2024-11 · check-in free text available
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2021-09-19
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-22
- 2022-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-18 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — day 21, dose 1
Symptoms: I find since the first Amiens shot I am feeling much more arthritic.
Release 7 — day 21, dose 2
Symptoms: I've felt much more arthritic since the second Moderna shot
Release 9 — 3 months, dose 2
Symptoms: Near syncope, Elevated liver enzymes, and a low white cell count
Healthcare visit (other): Doctors office visit
Release 9 — 6 months, dose 2
Symptoms: I was diagnosed with and treated for Lyme disease, which had caused a vasovagil episode, neutropenia, and a flu-like syndrome. I was tested for Covid as well but the test results were negative. After treatment with doxycycline, I feel better.
Healthcare visit (other): Doctors office visits.
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 | Arthritis | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme increased | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Lyme disease | · | · | ✓ |
| SD | Neutropenia | · | · | ✓ |
| SD | Presyncope | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | White blood cell count decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release