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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

  1. 2021-02-17
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  4. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-13
    Survey response — day 21, dose 1
    MedDRA: Arthritis — Feeling: Fair
    Free 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
  7. 2021-03-18
    Dose 2 — Moderna
  8. 2021-03-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains
    Adult check-in
  9. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  11. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Survey response — day 21, dose 2
    MedDRA: Arthritis — Feeling: Fair
    Free text: I've felt much more arthritic since the second Moderna shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-05-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-24
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Symptoms: Near syncope, Elevated liver enzymes, and a low white cell count · Healthcare visit (other): Doctors office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-24
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-07-01
    Call successful
    Participant prefers to complete VAERS report online
  19. 2021-09-19
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free 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
  20. 2021-09-19
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-09-22
  22. 2022-03-18
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-18Moderna

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 5 — day 21, dose 1

2021-03-13

Symptoms: I find since the first Amiens shot I am feeling much more arthritic.

Release 7 — day 21, dose 2

2021-04-08

Symptoms: I've felt much more arthritic since the second Moderna shot

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Near syncope, Elevated liver enzymes, and a low white cell count
Healthcare visit (other): Doctors office visit

Release 9 — 6 months, dose 2

2021-09-19

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDArthritis ✓ ✓ ✓
SDHepatic enzyme increased ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDLyme disease · · ✓
SDNeutropenia · · ✓
SDPresyncope · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSyncope ✓ ✓ ✓
SDWhite blood cell count decreased ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release