4CS-23432-47817
4 vaccinations
20 coded responses
44 check-ins
19 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 206 / MD
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Registered in v-safe
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2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Diarrhoea — Feeling: Good · DiarrheaFree text: Last night diarrhea and chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
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2021-03-19
Survey response — day 21, dose 1MedDRA: Headache, Nausea — Feeling: FairFree text: Headache; nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Brain fog, Feeling abnormal — Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Unclear thinking - brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — day 7, dose 2Feeling: Poor · Fever · Chills, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-09
Survey response — day 14, dose 2MedDRA: Chills, Diarrhoea, Fatigue, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Slight headache; fatigue; chills; nausea; diarrhea for week after 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 21, dose 2MedDRA: Diarrhoea, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhea and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 28, dose 2MedDRA: Fatigue, Myalgia, Pre-existing disease, Pyrexia, Sinus disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extremely Fatigued, cant wake up after sleeping, aches in muscles, fever, lots of allergy sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 35, dose 2MedDRA: Arthralgia, Diarrhoea, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dirreaha, muscle and joint achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — day 42, dose 2MedDRA: Abdominal discomfort, Brain fog, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Brain fog, upset intestinal and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-25
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue and cant wake ipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-24
Survey response — 6 months, dose 2MedDRA: Brain fog, Dyspnoea, Ear infection, Fatigue, Somnolence — Feeling: Poor · 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 visitFree text: Short of breath, ear infection, fatigue, cant wake up, brain fogMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — 6 months, dose 2Be 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 · 1 call case(s)
- 2021-09-29
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2021-09-30
Call successfulParticipant prefers to complete VAERS report online
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2021-10-26
Dose 3 — Moderna
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Poor · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Trouble breathingMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-11-02
Survey response — day 7, dose 3MedDRA: Brain fog — Feeling: Poor · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Brain fogMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — day 14, dose 3MedDRA: Diarrhoea — Feeling: FairFree text: DirreahaMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Brain fog, Dyspnoea, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, short of breath, brain fogMedDRA releases: 2024-11 · check-in free text available
- 2021-12-07
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2022-01-25
Survey response — 3 months, dose 3MedDRA: Knee arthroplasty — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Total knee replacementMedDRA releases: 2024-11 · check-in free text available
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2022-04-04
Dose 4 — Moderna
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2022-04-20
Survey response — day 14, dose 4MedDRA: Condition aggravated, Knee arthroplasty, 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Knee replacement which made my long COVID worse.MedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Report sent to call center — day 14, 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 · 1 call case(s)
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2022-04-21
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-25
- 2022-05-03
- 2022-05-10
- 2022-05-16
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2022-07-06
Survey response — 3 months, dose 4MedDRA: Eye swelling — Feeling: Poor · 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: Swollen right eye possibly a styeMedDRA releases: 2024-11 · check-in free text available
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2022-07-06
Report sent to call center — 3 months, dose 4Be 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)
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2022-07-07
Call successfulNot applicable - Accidental Reporting
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2022-10-03
Survey response — 6 months, dose 4MedDRA: Chills, Injection site erythema, Injection site pain, Injection site swelling, Mobility decreased, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Long COVID symptoms continue Bivalent booster - swelling at injection site, red and tenderness, many chills and fever-in bed for 24 hours.MedDRA releases: 2024-11 · check-in free text available
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2023-04-04
Survey response — 12 months, dose 4MedDRA: Abdominal discomfort, Brain fog, Dyspnoea, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Last night diarrhea and chills
Release 5 — day 21, dose 1
Symptoms: Headache; nausea
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Unclear thinking - brain fog
Release 7 — day 14, dose 2
Symptoms: Slight headache; fatigue; chills; nausea; diarrhea for week after 2nd shot
Release 7 — day 21, dose 2
Symptoms: Diarrhea and nausea
Release 7 — day 28, dose 2
Symptoms: Extremely Fatigued, cant wake up after sleeping, aches in muscles, fever, lots of allergy sinus issues
Release 8 — day 35, dose 2
Symptoms: Dirreaha, muscle and joint aches
Release 8 — day 42, dose 2
Symptoms: Brain fog, upset intestinal and nausea
Release 9 — 3 months, dose 2
Symptoms: Fatigue and cant wake ip
Release 9 — 6 months, dose 2
Symptoms: Short of breath, ear infection, fatigue, cant wake up, brain fog
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Trouble breathing
Release 10 — day 7, dose 3
Systemic reaction (other): Brain fog
Release 10 — day 14, dose 3
Symptoms: Dirreaha
Release 10 — day 35, dose 3
Symptoms: Fatigue, short of breath, brain fog
Release 11 — 3 months, dose 3
Symptoms: Total knee replacement
Release 11 — day 14, dose 4
Symptoms: Knee replacement which made my long COVID worse.
Release 12 — 3 months, dose 4
Symptoms: Swollen right eye possibly a stye
Release 12 — 6 months, dose 4
Symptoms: Long COVID symptoms continue Bivalent booster - swelling at injection site, red and tenderness, many chills and fever-in bed for 24 hours.
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 discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Brain fog | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release