49Z-99357-93283
4 vaccinations
6 coded responses
32 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 665 / KS
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Resting heart right about 5 bpm higher than usual.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 1MedDRA: Heart rate increased — Feeling: GoodFree text: Resting heart rate as shown by my watch is still about 5 bpm over normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-28
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
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2021-09-12
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Endometrial disorder, Postmenopausal haemorrhage, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Uterine bleeding from growth after 20 years in menopause with no bleeding. Aortic valve leak got a little worse.MedDRA releases: 2024-11 · check-in free text available
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2021-09-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-15
-
2021-10-22
Dose 3 — ModernaCo-administered: Flu
- 2022-03-12
-
2022-04-21
Dose 4 — Pfizer-BioNTechCo-administered: Shingles
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2022-04-28
Survey response — day 7, dose 4MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Cough, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
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2022-05-26
Survey response — day 35, dose 4MedDRA: Urticaria, Viral infection — 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 · Outpatient clinic or urgent care clinic visitFree text: I have had random hives for the past 17 days that come and go. For the past 5 days I have had a virus caught from my grandson.MedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-27
Call successfulParticipant prefers to complete VAERS report online
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2022-05-27
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-02
- 2022-07-21
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2022-10-20
Survey response — 6 months, dose 4MedDRA: COVID-19 — 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 · Outpatient clinic or urgent care clinic visitFree text: Covid and post Covid syndromeMedDRA releases: 2024-11 · check-in free text available
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2022-10-20
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-10-21
Call successfulParticipant prefers to complete VAERS report online
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-22 | Moderna | Flu |
| 4 | 2022-04-21 | Pfizer-BioNTech | Shingles |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Resting heart right about 5 bpm higher than usual.
Systemic reaction (other): Resting heart rate as shown by my watch is still about 5 bpm over normal
Release 9 — 6 months, dose 2
Symptoms: Uterine bleeding from growth after 20 years in menopause with no bleeding. Aortic valve leak got a little worse.
Release 11 — day 7, dose 4
Systemic reaction (other): Cough, runny nose
Release 11 — day 35, dose 4
Symptoms: I have had random hives for the past 17 days that come and go. For the past 5 days I have had a virus caught from my grandson.
Release 12 — 6 months, dose 4
Symptoms: Covid and post Covid syndrome
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 | Condition aggravated | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Endometrial disorder | · | · | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release