4H7-16431-25165
1 vaccination
6 coded responses
7 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 337 / FL
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
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2021-01-17
Survey response — day 14, dose 1MedDRA: Back pain, Dyspnoea, Musculoskeletal chest pain, SARS-CoV-2 test positive, Telemedicine, Upper-airway cough syndrome — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: 1/14 PCR pos after sob exertion walking pose nasal drip rib pai back pain · Healthcare visit (other): I/13 telemedicine 1/14 called emp healthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Report sent to call center — day 14, dose 1Be 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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2021-01-22
Survey response — day 21, dose 1MedDRA: Dyspnoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sob Positive covid. Test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-27
Survey response — day 28, dose 1MedDRA: COVID-19, Incomplete course of vaccination — Feeling: Fair · Be unable to workFree text: Covid positive after 1st vaccination. Vaccination 2 canceledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — day 35, dose 1MedDRA: Asthenia, COVID-19, Cough, Dyspnoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sob weakness. Cough was pos covid after receiving 1st. 2 bd advised to wait another 3 weeks by attending drMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 35, dose 1Be 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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2021-02-10
Survey response — day 42, dose 1MedDRA: Bradycardia, Cough, Dyspnoea, Fatigue, Flushing, Hyperhidrosis, Musculoskeletal chest pain, Peripheral swelling, Sleep disorder, Tachycardia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Sob sore ribs fatigue swollen feet cough sweating waking at night bradycardia laying down. Tachycardia on activity intermittently flushing faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-31
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2021-07-02
Survey response — 6 months, dose 1MedDRA: Alopecia, Brain fog, COVID-19, Dyspnoea, Fatigue, Palpitations, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Palpitations sob brain fog fatigue hair loss. I had one vac dec 30 2020 then Covid 14 day later. Received second in March 2022 · Healthcare visit (other): Card cath/ lexiscan echoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 6 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-07
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna |
Call center
4 call center cases
4 successful
Free text
Release 2 — day 14, dose 1
Symptoms: 1/14 PCR pos after sob exertion walking pose nasal drip rib pai back pain
Healthcare visit (other): I/13 telemedicine 1/14 called emp health
Release 2 — day 21, dose 1
Symptoms: Sob Positive covid. Test.
Release 2 — day 28, dose 1
Symptoms: Covid positive after 1st vaccination. Vaccination 2 canceled
Release 3 — day 35, dose 1
Symptoms: Sob weakness. Cough was pos covid after receiving 1st. 2 bd advised to wait another 3 weeks by attending dr
Release 4 — day 42, dose 1
Symptoms: Sob sore ribs fatigue swollen feet cough sweating waking at night bradycardia laying down. Tachycardia on activity intermittently flushing face
Release 9 — 6 months, dose 1
Symptoms: Palpitations sob brain fog fatigue hair loss. I had one vac dec 30 2020 then Covid 14 day later. Received second in March 2022
Healthcare visit (other): Card cath/ lexiscan echo
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 | Telemedicine | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Alopecia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bradycardia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Incomplete course of vaccination | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SD | Tachycardia | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release