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46X-19694-71648

4 vaccinations 10 coded responses 45 check-ins 10 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
320 / FL
Registered
2021-01-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-01-25
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  10. 2021-02-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-15
    Dose 2 — Moderna
  13. 2021-02-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Swollen, tender lymph nodes on the side of the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  18. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-01
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-15
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Headache, Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Fatigue, headache, swollen, sore lymph node
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-17
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Intermittent fatigue, possibly related to dehydration
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-23
    Dose 3 — Pfizer-BioNTech
  29. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Dizziness, Pain, Pyrexia — Feeling: Good · Site: Pain, Swelling
    Free text: I did not have any of those symptoms today, but I had fever, chills, aches, and dizziness over the prior two days, i.e., the two days following my booster.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  33. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · Fever · Chills, Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-11-06
    Survey response — day 14, dose 3
    MedDRA: Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Sneezing, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-20
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-27
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-22
    Survey response — 3 months, dose 3
    MedDRA: Pharyngeal erythema — Feeling: Good
    Free text: Red throat
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-04-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-05-10
    Dose 4 — Pfizer-BioNTech
  42. 2022-05-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-05-24
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-31
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-07
    Survey response — day 28, dose 4
    MedDRA: Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fever, headache, achiness, fatigue
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-06-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-06-21
    Survey response — day 42, dose 4
    MedDRA: Genital rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash in the pubic area
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-06-21
    Report sent to call center — day 42, dose 4
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  49. 2022-06-22
  50. 2022-06-24
    Call successful
    Does not wish to fill out VAERS report
  51. 2022-08-09
    Survey response — 3 months, dose 4
    MedDRA: Office visit, Rash — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Rashes · Healthcare visit (other): Doctor's office
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-08-09
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  53. 2022-08-10
  54. 2022-08-10
  55. 2022-11-08
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  56. 2023-05-10
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna
32021-10-23Pfizer-BioNTech No
42022-05-10Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-17

Systemic reaction (other): Swollen, tender lymph nodes on the side of the injection

Release 4 — day 14, dose 2

2021-03-01

Symptoms: Fatigue

Release 5 — day 28, dose 2

2021-03-15

Symptoms: Fatigue, headache, swollen, sore lymph node

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: Intermittent fatigue, possibly related to dehydration

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): I did not have any of those symptoms today, but I had fever, chills, aches, and dizziness over the prior two days, i.e., the two days following my booster.

Release 10 — day 14, dose 3

2021-11-06

Symptoms: Sneezing, runny nose

Release 11 — 3 months, dose 3

2022-01-22

Symptoms: Red throat

Release 11 — day 28, dose 4

2022-06-07

Symptoms: Fever, headache, achiness, fatigue

Release 12 — day 42, dose 4

2022-06-21

Symptoms: Rash in the pubic area

Release 12 — 3 months, dose 4

2022-08-09

Symptoms: Rashes
Healthcare visit (other): Doctor's office

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 · · ✓
SDFatigue ✓ ✓ ✓
SDGenital rash · · ✓
SDHeadache ✓ ✓ ✓
SDLymph node pain ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain · · ✓
SDPharyngeal erythema · · ✓
SDPyrexia · · ✓
SDRash · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROChills · · ✓
SRODizziness · · ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPain · · ✓
SROPyrexia · · ✓

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

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