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47A-23904-67350

4 vaccinations 8 coded responses 44 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
442 / OH
Registered
2021-02-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-24
    Registered in v-safe
  3. 2021-02-24
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  4. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Fair
    Free text: Injection site redness soreness and swelling . Didnt feel great.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-13
    Dose 2 — Moderna
  7. 2021-03-13
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Poor · Site: Pain, Swelling · Fever · Be unable to do your normal daily activities
    Free text: Over night I had moderate chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Fatigue or tiredness
    Adult check-in
  10. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Anxiety, Chills, Insomnia, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Last night had mild chills, insomnia which I also had first night. Intermittent anxiety last night and today. Havent had anxiety since Menopause
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oral discomfort, Self-medication — Feeling: Good
    Free text: Last evening until this morning red burning lips had to take benedryl. No normal allergies like that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-17
    Survey response — day 35, dose 2
    MedDRA: Abdominal distension, Constipation, Gastrointestinal disorder — Feeling: Fair
    Free text: Having atypical stomach issues- bloating some constipation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-26
    Survey response — day 42, dose 2
    MedDRA: Gastric disorder, Gastrointestinal disorder, Pre-existing disease, Ventricular extrasystoles — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Having stomach/intestinal issues. Having benign pvcs that I havent had in over 20 years. Was checked out, still benign. Probably not vaccine related, but maybe it over stimulated my immune system
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-26
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-06-12
    Survey response — 3 months, dose 2
    MedDRA: Sinus disorder — Feeling: Fair
    Free text: Sinus issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-11-04
    Dose 3 — Moderna
  24. 2021-11-04
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Palpitations — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Heart palpitations
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  27. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  28. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  29. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  30. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  31. 2021-11-11
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-29
    Call successful
    Participant prefers to complete VAERS report online
  38. 2022-02-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-11-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2023-01-20
    Dose 4 — Moderna
  42. 2023-01-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea
    Adult check-in
  43. 2023-01-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  44. 2023-01-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2023-01-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2023-02-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2023-02-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  48. 2023-02-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  49. 2023-02-24
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  50. 2023-03-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  51. 2023-04-21
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna
32021-11-04Moderna No
42023-01-20Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Injection site redness soreness and swelling . Didnt feel great.

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): Over night I had moderate chills

2021-03-16

Systemic reaction (other): Last night had mild chills, insomnia which I also had first night. Intermittent anxiety last night and today. Havent had anxiety since Menopause

2021-03-18

Systemic reaction (other): Last evening until this morning red burning lips had to take benedryl. No normal allergies like that

Release 7 — day 35, dose 2

2021-04-17

Symptoms: Having atypical stomach issues- bloating some constipation

Release 8 — day 42, dose 2

2021-04-26

Symptoms: Having stomach/intestinal issues. Having benign pvcs that I havent had in over 20 years. Was checked out, still benign. Probably not vaccine related, but maybe it over stimulated my immune system

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Sinus issues

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Heart palpitations

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
SDAbdominal distension ✓ ✓ ✓
SDConstipation ✓ ✓ ✓
SDGastric disorder ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SDVentricular extrasystoles ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROOral discomfort ✓ ✓ ✓
SROPalpitations · · ✓
SROPre-existing disease ✓ · ✓
SROSelf-medication ✓ ✓ ✓

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

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