4E4-29234-67073
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 130 / NY
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-24
Registered in v-safe
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2020-12-24
Dose 1 — Moderna
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2020-12-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-27
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
-
2020-12-31
Health check-in — day 7, dose 1Feeling: Poor · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2020-12-31
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
- 2021-01-07
- 2021-01-15
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2021-01-21
Dose 2 — Moderna
- 2021-01-21
- 2021-01-22
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2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-01-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · DiarrheaAdult check-in
- 2021-01-28
- 2021-02-05
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2021-02-11
Survey response — day 21, dose 2MedDRA: Abdominal pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Abdominal crampingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Report sent to call center — day 21, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-20
Survey response — day 28, dose 2MedDRA: Pelvic inflammatory disease — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: PIDMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-25
- 2021-03-04
- 2021-04-23
- 2021-04-26
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2022-01-21
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, Back pain, COVID-19, Fatigue, Oropharyngeal pain, Pelvic pain, Pyrexia — 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 · Emergency room or emergency department visitFree text: COVID positive 8/21 loss of smell/taste, fatigue, back pain, pelvis pain, low grade fever, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-01-24
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-29 | priority 2/3 | |
| 2020-12-31 | priority 2/3 | |
| 2021-02-11 | Unsuccessful | |
| 2021-02-20 | Unsuccessful | |
| 2022-01-21 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Release 4 — day 21, dose 2
Symptoms: Abdominal cramping
Release 4 — day 28, dose 2
Symptoms: PID
Release 10 — 12 months, dose 2
Symptoms: COVID positive 8/21 loss of smell/taste, fatigue, back pain, pelvis pain, low grade fever, sore throat
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 pain | ✓ | ✓ | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pelvic inflammatory disease | ✓ | ✓ | ✓ |
| SD | Pelvic pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release