46U-31781-13431
4 vaccinations
20 coded responses
52 check-ins
19 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 995 / AK
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-15
Dose 1 — Moderna
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2021-01-16
Registered in v-safe
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: ThirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-18
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2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Chills, Headache, Muscle or body achesAdult check-in
- 2021-01-20
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Thirst — Feeling: Good · Fatigue or tirednessFree text: Thirsty and dry feeling in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
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2021-01-29
Survey response — day 14, dose 1MedDRA: Pruritus, Thirst — Feeling: GoodFree text: My skin itches, back, abdomen, neck! And I seem thirstier than normal!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 21, dose 1MedDRA: Agitation, Nervousness, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart palpitations, feeling of very nervous agitation!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-11
Dose 2 — Moderna
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Excessive dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: Normal Temp is 97.6 I had Fever last night but could not go back and change my responseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Lip dry, Thirst — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Still thirsty, dry lips, slight cottony feeling in mouth, I a drinking extra fluids!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Aches make it a little harder to engage in normal activities but have more energy today than the past two days!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-02-18
Survey response — day 7, dose 2MedDRA: Back pain — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Low back pain, dont know or its related or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-18
Survey response — day 35, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash on right side of my neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-06-30
Call successfulParticipant prefers to complete VAERS report online
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Adverse reaction, Cough, Eye pruritus, Fatigue, Lacrimation increased, Paranasal sinus hypersecretion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Severe Cough, symptoms of allergies, itchy watery eyes, sinuses draining and very tiredMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
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)
- 2021-08-19
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2021-08-20
Callback requested for06:00PM ET
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2021-08-20
Call successfulCompleted over the phone
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2021-11-06
Dose 3 — Moderna
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2021-11-06
Health check-in — day 0, dose 3Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tirednessAdult check-in
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Good · Chills, Headache, Joint pains, Muscle or body achesFree text: Stiff sore at back of neckMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site haemorrhage — Feeling: Fair · Site: Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Noticed redness at injection site as bandaid came off last nite, noticed there had been a small amount of bleeding (probably right after injection) and that there were two small red spots at injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-10
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-13
Health check-in — day 7, dose 3Feeling: Good · Site: Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-02-07
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2022-04-25
Dose 4 — Moderna
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2022-04-25
Survey response — day 0, dose 4MedDRA: Peripheral coldness — Feeling: Fair · Chills, Fatigue or tirednessFree text: Cold very cold extremitiesMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: Itching · Chills, Fatigue or tirednessFree text: Tenderness at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Tender at injection siteMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Nausea, Abdominal painAdult check-in
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-05-02
Health check-in — day 7, dose 4Feeling: Good · Site: Itching · Chills, Fatigue or tirednessAdult check-in
- 2022-05-09
- 2022-05-16
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2022-05-23
Survey response — day 28, dose 4MedDRA: Chills, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Get easily tired,chills periodically,MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
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2022-07-25
Survey response — 3 months, dose 4MedDRA: Fatigue, Oropharyngeal pain, Upper-airway cough syndrome — Feeling: FairFree text: Minor persistent sore throat- get tired/fatigued very easily, sinus drainage at back of nasal passagesMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — 6 months, dose 4MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Sore left upper Armand shoulderMedDRA releases: 2024-11 · check-in free text available
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2023-04-25
Survey response — 12 months, dose 4MedDRA: Cough, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-25
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Thirst
Systemic reaction (other): Thirsty and dry feeling in mouth
Release 3 — day 14, dose 1
Symptoms: My skin itches, back, abdomen, neck! And I seem thirstier than normal!
Release 3 — day 21, dose 1
Symptoms: Heart palpitations, feeling of very nervous agitation!
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Excessive dry mouth
Systemic reaction (other): Normal Temp is 97.6 I had Fever last night but could not go back and change my response
Systemic reaction (other): Still thirsty, dry lips, slight cottony feeling in mouth, I a drinking extra fluids!
Systemic reaction (other): Aches make it a little harder to engage in normal activities but have more energy today than the past two days!
Release 4 — day 7, dose 2
Systemic reaction (other): Low back pain, dont know or its related or not
Release 5 — day 35, dose 2
Symptoms: Rash on right side of my neck
Release 9 — 6 months, dose 2
Symptoms: Severe Cough, symptoms of allergies, itchy watery eyes, sinuses draining and very tired
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Stiff sore at back of neck
Systemic reaction (other): Noticed redness at injection site as bandaid came off last nite, noticed there had been a small amount of bleeding (probably right after injection) and that there were two small red spots at injection site
Release 11 — day 0, dose 4
Systemic reaction (other): Cold very cold extremities
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Tenderness at injection site
Systemic reaction (other): Tender at injection site
Release 11 — day 28, dose 4
Symptoms: Get easily tired,chills periodically,
Release 12 — 3 months, dose 4
Symptoms: Minor persistent sore throat- get tired/fatigued very easily, sinus drainage at back of nasal passages
Release 12 — 6 months, dose 4
Symptoms: Sore left upper Armand shoulder
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 |
|---|---|---|---|---|
| SD | Adverse reaction | ✓ | · | ✓ |
| SD | Agitation | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Eye pruritus | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Lacrimation increased | ✓ | · | ✓ |
| SD | Nervousness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Thirst | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site haemorrhage | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Lip dry | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release