47Z-24846-83044
4 vaccinations
15 coded responses
50 check-ins
14 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 144 / NY
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-18
Registered in v-safe
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2021-02-18
Dose 1 — Moderna
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2021-02-18
Health check-in — day 0, dose 1Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Fatigue or tirednessFree text: yesterday had s o b . Hydrated and took more asthma meds . felt betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: dizzy during nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
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2021-03-17
Dose 2 — Moderna
- 2021-03-17
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · 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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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
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2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Ophthalmoplegia — Feeling: Fair · Fatigue or tirednessFree text: eye muscle weakness making eyrball go crossedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Survey response — day 14, dose 2MedDRA: Abdominal pain upper, Chills, Fatigue, Headache, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: gastric disturbances(stomach and intestine pain), fever, chills, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-07
- 2021-04-14
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2021-04-21
Survey response — day 35, dose 2MedDRA: Abdominal distension, Body temperature increased, Chills, Constipation, Fatigue, Somnolence — Feeling: Poor · Be unable to do your normal daily activitiesFree text: elevated temp, chills, aches, fatigue, constipation, bloating, sleepiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 42, dose 2MedDRA: Abdominal distension, Body temperature increased, Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: gastrointestinal bloating and pain, elevated temp, extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Survey response — 3 months, dose 2MedDRA: Anaemia, Cellulitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: anemia, ceellulitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-16
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-21
- 2021-06-22
- 2021-09-15
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2021-09-16
Dose 3 — Moderna
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2021-09-19
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-20
- 2021-09-21
- 2021-09-25
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2021-09-30
Survey response — day 14, dose 3MedDRA: Chills, Pain — Feeling: FairFree text: pain and chills after iron infusionMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — day 21, dose 3MedDRA: Anaemia, Dyspnoea, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: anemia from chemo, resulting in fatigue and sobMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-13
- 2021-10-14
- 2021-10-18
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2021-10-18
Call successfulParticipant prefers to complete VAERS report online
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2021-10-18
Call successfulParticipant prefers to complete VAERS report online
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2021-10-18
Call successfulParticipant prefers to complete VAERS report online
- 2021-10-21
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2021-10-28
Survey response — day 42, dose 3MedDRA: Ejection fraction decreased, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: ejection fraction dropped from 74% to 56% in 6,weeks apparently from chemo drug doxilMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-02
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-12-16
Survey response — 3 months, dose 3MedDRA: Haemorrhoids — Feeling: GoodFree text: hemorrhoids ligationMedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
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2022-05-12
Dose 4 — Moderna
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2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Irritability — Feeling: FairFree text: grumpinessMedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Irritability — Feeling: GoodFree text: grumpynessMedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-11
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2022-11-10
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Afib from chemo treatmentsMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-11-11
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2022-11-11
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-05-12
Survey response — 12 months, dose 4MedDRA: Atrial fibrillation, Gastric haemorrhage, Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-05-12
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-05-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-09-16 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Call center
6 call center cases
5 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): yesterday had s o b . Hydrated and took more asthma meds . felt better
Systemic reaction (other): dizzy during night
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): eye muscle weakness making eyrball go crossed
Release 6 — day 14, dose 2
Symptoms: gastric disturbances(stomach and intestine pain), fever, chills, headache, fatigue
Release 7 — day 35, dose 2
Symptoms: elevated temp, chills, aches, fatigue, constipation, bloating, sleepiness.
Release 8 — day 42, dose 2
Symptoms: gastrointestinal bloating and pain, elevated temp, extreme fatigue
Release 9 — 3 months, dose 2
Symptoms: anemia, ceellulitis
Release 9 — day 14, dose 3
Symptoms: pain and chills after iron infusion
Release 10 — day 21, dose 3
Symptoms: anemia from chemo, resulting in fatigue and sob
Release 10 — day 42, dose 3
Symptoms: ejection fraction dropped from 74% to 56% in 6,weeks apparently from chemo drug doxil
Release 10 — 3 months, dose 3
Symptoms: hemorrhoids ligation
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): grumpiness
Systemic reaction (other): grumpyness
Release 12 — 6 months, dose 4
Symptoms: Afib from chemo treatments
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 | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Anaemia | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Cellulitis | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ejection fraction decreased | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastric haemorrhage | · | · | ✓ |
| SD | Haemorrhoids | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Irritability | · | · | ✓ |
| SRO | Ophthalmoplegia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release