4AX-21970-64941
5 vaccinations
6 coded responses
51 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Fatigue yesterday after I reported. Better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Low appetite since yesterday when I had no appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-05-11
Survey response — 3 months, dose 2MedDRA: Cough, Decreased appetite, Fatigue, Headache, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Got a virus at the dentist (practice many patients, no enclosed rooms. Symptoms: extreme fatigue, loss of appetite several days. Headache. Instability. Oxygen 96, pulse 60, no temperature, cough. molecular COVID test negative. Feel fine except bug.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-10
-
2021-09-26
Dose 3 — Moderna
- 2021-10-26
- 2021-10-31
- 2021-11-07
- 2021-12-26
- 2022-03-27
-
2022-05-06
Call successfulNot applicable - Accidental Reporting
-
2022-05-11
Dose 4 — Moderna
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
-
2022-08-10
Survey response — 3 months, dose 4MedDRA: Diarrhoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Diarrhea and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 5 — Other-Unknown
-
2022-09-25
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue — Feeling: Good · Site: Pain, RednessFree text: Maybe more fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
-
2022-12-22
Survey response — 3 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: I contracted CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-22
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-12-23
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-09-26 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-22 | Other-Unknown | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue yesterday after I reported. Better today
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Low appetite since yesterday when I had no appetite
Release 8 — 3 months, dose 2
Symptoms: Got a virus at the dentist (practice many patients, no enclosed rooms. Symptoms: extreme fatigue, loss of appetite several days. Headache. Instability. Oxygen 96, pulse 60, no temperature, cough. molecular COVID test negative. Feel fine except bug. cut off by CDC
Release 12 — 3 months, dose 4
Symptoms: Diarrhea and fatigue
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Maybe more fatigue
Release 12 — 3 months, dose 5
Symptoms: I contracted Covid
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 | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release