4DH-27918-49727
5 vaccinations
8 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 063 / CT
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
-
2021-03-06
Survey response — day 14, dose 1MedDRA: Erythema, Mass, Pain in extremity, Peripheral swelling — Feeling: FairFree text: I am not sure this has anything to do with the Covid vaccine. Two days before the vaccine I had a cortisone injection in my shoulder. I have a large area on my upper arm thats painful swollen red and it feels hard. I am going back to that doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-06-19
- 2021-09-20
-
2021-10-23
Dose 3 — Moderna
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
-
2022-01-22
Survey response — 3 months, dose 3MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Dose 4 — Moderna
- 2022-04-18
-
2022-04-22
Survey response — day 21, dose 4MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — day 28, dose 4MedDRA: Sinusitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
-
2022-05-13
Survey response — day 42, dose 4MedDRA: Diarrhoea, Fatigue — Feeling: FairFree text: Diarrhea, tired.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
-
2022-09-09
Dose 5 — Moderna
-
2022-10-02
Survey response — 6 months, dose 4MedDRA: Urinary tract infection — Feeling: GoodFree text: UTIMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
-
2022-12-10
Survey response — 3 months, dose 5MedDRA: Thyroid disorder, Unevaluable event — Feeling: GoodFree text: My thyroid level, TSH, is out of control. I doubt it has anything to do with the Covid, but I thought I'd mention it.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-10
Survey response — 6 months, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-10
Report sent to call center — 6 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)
-
2023-03-13
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: I am not sure this has anything to do with the Covid vaccine. Two days before the vaccine I had a cortisone injection in my shoulder. I have a large area on my upper arm thats painful swollen red and it feels hard. I am going back to that doctor
Release 11 — 3 months, dose 3
Symptoms: Sore throat, runny nose, cough.
Release 11 — day 21, dose 4
Symptoms: Sore throat
Release 11 — day 28, dose 4
Symptoms: Sinus infection
Release 11 — day 42, dose 4
Symptoms: Diarrhea, tired.
Release 12 — 6 months, dose 4
Symptoms: UTI
Release 12 — 3 months, dose 5
Symptoms: My thyroid level, TSH, is out of control. I doubt it has anything to do with the Covid, but I thought I'd mention it.
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 | Diarrhoea | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Mass | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Thyroid disorder | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release