48S-29371-35730
5 vaccinations
10 coded responses
61 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 667 / KS
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-27
Registered in v-safe
-
2021-04-27
Dose 1 — Moderna
-
2021-04-27
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
-
2021-06-07
Dose 2 — Moderna
- 2021-06-08
- 2021-06-09
-
2021-06-10
Survey response — days 1–6 daily, dose 2MedDRA: Energy increased — Feeling: GoodFree text: Extra energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-11
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-07-05
- 2021-07-12
- 2021-07-19
-
2021-09-06
Survey response — 3 months, dose 2MedDRA: Contusion, Office visit, Sepsis, Wound — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Contusion on right leg that turned to sepsus b+. Have an open wound that are being treated by wound care center i (b)(6) Ks · Healthcare visit (other): Wound Care CenterMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-06
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-13
Call successfulDoes not wish to fill out VAERS report
- 2021-12-06
-
2021-12-07
Dose 3 — Moderna
- 2021-12-07
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-14
- 2021-12-21
-
2021-12-28
Survey response — day 21, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: 3 week coldMedDRA releases: 2024-11 · check-in free text available
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2022-01-04
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exteme coughing, fatigue. Had a Covid test taken but it was negative. Was rold it was a 3 week cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-11
- 2022-01-18
- 2022-03-08
-
2022-04-06
Dose 4 — Moderna
-
2022-04-19
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Survey response — day 14, dose 4MedDRA: Chills — Feeling: GoodFree text: Chills last two days offcand in.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
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2022-10-05
Survey response — 6 months, dose 4MedDRA: COVID-19, Cellulitis, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: In hospital with cellulitus in leg. Had Covid about April of this yearMedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Dose 5 — Moderna
-
2022-11-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-12-01
- 2022-12-08
-
2022-12-15
Survey response — day 28, dose 5MedDRA: Arthralgia, Nausea — Feeling: FairFree text: Nausea for last three days shoulders ache.MedDRA releases: 2024-11 · check-in free text available
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2022-12-22
Survey response — day 35, dose 5MedDRA: Asthenia, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Nausea, headaches, no energyMedDRA releases: 2024-11 · check-in free text available
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2022-12-29
Survey response — day 42, dose 5MedDRA: Abdominal pain upper, Diarrhoea, Fatigue, Gastrointestinal viral infection, Office visit, Pre-existing disease — Feeling: Good · 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: Extreme diarrhea, severe stomach cramps, fatique. Dr diagnosed as Gastro Viral Infection. Have not gained full energy since had covid 2019MedDRA releases: 2024-11 · check-in free text available
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2022-12-29
Report sent to call center — day 42, dose 5Be 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)
-
2022-12-30
Call successfulParticipant prefers to complete VAERS report online
- 2023-02-16
-
2023-05-18
Survey response — 6 months, dose 5MedDRA: Mass, Office visit, Osteoarthritis — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Moderna | |
| 2 | 2021-06-07 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-11-17 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Extra energy
Release 9 — 3 months, dose 2
Symptoms: Contusion on right leg that turned to sepsus b+. Have an open wound that are being treated by wound care center i (b)(6) Ks
Healthcare visit (other): Wound Care Center
redacted (b)(6)
Release 10 — day 21, dose 3
Symptoms: 3 week cold
Release 10 — day 28, dose 3
Symptoms: Exteme coughing, fatigue. Had a Covid test taken but it was negative. Was rold it was a 3 week cold.
Release 11 — day 14, dose 4
Symptoms: Chills last two days offcand in.
Release 12 — 6 months, dose 4
Symptoms: In hospital with cellulitus in leg. Had Covid about April of this year
Release 12 — day 28, dose 5
Symptoms: Nausea for last three days shoulders ache.
Release 12 — day 35, dose 5
Symptoms: Nausea, headaches, no energy
Release 12 — day 42, dose 5
Symptoms: Extreme diarrhea, severe stomach cramps, fatique. Dr diagnosed as Gastro Viral Infection. Have not gained full energy since had covid 2019
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cellulitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Contusion | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Mass | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sepsis | ✓ | · | ✓ |
| SD | Wound | ✓ | · | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release