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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

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-17
    Registered in v-safe
  3. 2021-01-17
    Survey response — day 14, dose 1
    MedDRA: 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 consultation
    Free 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 health
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-01-22
    Survey response — day 21, dose 1
    MedDRA: 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 consultation
    Free text: Sob Positive covid. Test.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-22
    Report sent to call center — day 21, dose 1
    Be unable to work · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-01-27
    Survey response — day 28, dose 1
    MedDRA: COVID-19, Incomplete course of vaccination — Feeling: Fair · Be unable to work
    Free text: Covid positive after 1st vaccination. Vaccination 2 canceled
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-03
    Survey response — day 35, dose 1
    MedDRA: 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 consultation
    Free text: Sob weakness. Cough was pos covid after receiving 1st. 2 bd advised to wait another 3 weeks by attending dr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Report sent to call center — day 35, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-02-10
    Survey response — day 42, dose 1
    MedDRA: Bradycardia, Cough, Dyspnoea, Fatigue, Flushing, Hyperhidrosis, Musculoskeletal chest pain, Peripheral swelling, Sleep disorder, Tachycardia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sob sore ribs fatigue swollen feet cough sweating waking at night bradycardia laying down. Tachycardia on activity intermittently flushing face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
  12. 2021-03-31
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-07-02
    Survey response — 6 months, dose 1
    MedDRA: 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 visit
    Free 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 echo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-02
    Report sent to call center — 6 months, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-07-07
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna

Call center

4 call center cases

4 successful

See the call center timeline

Free text

Release 2 — day 14, dose 1

2021-01-17

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

2021-01-22

Symptoms: Sob Positive covid. Test.

Release 2 — day 28, dose 1

2021-01-27

Symptoms: Covid positive after 1st vaccination. Vaccination 2 canceled

Release 3 — day 35, dose 1

2021-02-03

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

2021-02-10

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

2021-07-02

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

FieldPreferred term2021-092023-042024-11
HCVOTelemedicine ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDAlopecia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDBradycardia ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDIncomplete course of vaccination ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDTachycardia ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release