4FF-38699-04386
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 372 / TN
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Neck has been kind of stiff and only my legs have been achy but that could be due to how i have been sitting for workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain — Feeling: Good · HeadacheFree text: Headache was just this morning and the injection site was just slightly tender if you pressed on it otherwise no issueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
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2021-03-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Night sweats, Pyrexia — Feeling: GoodFree text: At spot of injection i have large red area. It is feverish. On Saturday night it was 102 degrees but the rest of my body was normal temp. That night I woke up with a damp tshirt due to heat. Redness got better but today it is red again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · 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
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-02
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2021-09-29
Survey response — 6 months, dose 2MedDRA: Dehydroepiandrosterone decreased — Feeling: GoodFree text: Not really a condition but i had my DHEA tested in Feb and then again in Aug and it has dropped by 50%, the only thing that had happened out of the ordinary was getting the vaccine. I know it drops as you get older but 50% in 6 months seems odd.MedDRA releases: 2024-11 · check-in free text available
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2022-03-31
Survey response — 12 months, dose 2MedDRA: Brain fog, Disturbance in attention, Gastritis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: In January i had gastritis and i seem to really struggle with brain fog and focusing. · Healthcare visit (other): EndoscopyMedDRA releases: 2024-11 · check-in free text available
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2022-03-31
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Neck has been kind of stiff and only my legs have been achy but that could be due to how i have been sitting for work
Systemic reaction (other): Headache was just this morning and the injection site was just slightly tender if you pressed on it otherwise no issue
Release 5 — day 14, dose 1
Symptoms: At spot of injection i have large red area. It is feverish. On Saturday night it was 102 degrees but the rest of my body was normal temp. That night I woke up with a damp tshirt due to heat. Redness got better but today it is red again.
Release 9 — 6 months, dose 2
Symptoms: Not really a condition but i had my DHEA tested in Feb and then again in Aug and it has dropped by 50%, the only thing that had happened out of the ordinary was getting the vaccine. I know it drops as you get older but 50% in 6 months seems odd.
Release 11 — 12 months, dose 2
Symptoms: In January i had gastritis and i seem to really struggle with brain fog and focusing.
Healthcare visit (other): Endoscopy
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Dehydroepiandrosterone decreased | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release