4E4-22753-40432
3 vaccinations
7 coded responses
36 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 010 / MA
- Registered
- 2020-12-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2DG-12415-44196
Child or adolescent in my care · Male · 2022-10-24
J4P-19895-99054
Child or adolescent in my care · Male · 2022-12-06
Timeline
-
2020-12-24
Dose 1 — Moderna
-
2020-12-25
Registered in v-safe
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Flushing, Immediate post-injection reaction — Feeling: Good · Site: PainFree text: Flushed hot face within 40 minutes of receiving vaccine, resolved in an hour or 2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2020-12-29
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-07
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-23
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Immediate post-injection reaction — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Unable to report symptoms til today. 1/2 hr after vaccine I had 1 second chest pain like lightning bolt to my heart. Severe symptoms of fever shaking chills started 11.5 hrs after vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Joint pains · Be unable to workFree text: This was 3rd day from vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
- 2021-02-20
- 2021-02-25
- 2021-03-04
- 2021-04-22
-
2021-07-22
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: I am 10 week pregnant, due Feb 13 2022MedDRA releases: 2024-11 · check-in free text available
-
2021-11-15
Dose 3 — Pfizer-BioNTech
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Constipation, Muscle spasms — Feeling: Good · Abdominal pain · Be unable to do your normal daily activitiesFree text: Constipation and crampingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2021-12-13
Survey response — day 28, dose 3MedDRA: Urinary tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: UTIMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-14
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-16
-
2022-11-15
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had Covid in July 2022MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-11-15 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | priority 2/3 | |
| 2021-12-13 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Flushed hot face within 40 minutes of receiving vaccine, resolved in an hour or 2
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Unable to report symptoms til today. 1/2 hr after vaccine I had 1 second chest pain like lightning bolt to my heart. Severe symptoms of fever shaking chills started 11.5 hrs after vaccine
Systemic reaction (other): This was 3rd day from vaccine
Release 9 — 6 months, dose 2
Symptoms: I am 10 week pregnant, due Feb 13 2022
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Constipation and cramping
Release 10 — day 28, dose 3
Symptoms: UTI
Release 12 — 12 months, dose 3
Symptoms: Had Covid in July 2022
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 | COVID-19 | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Constipation | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release