4KF-61143-97701
3 vaccinations
6 coded responses
32 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 430 / OH
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Very minor headache and may not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Tenderness — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Tenderness of shoulder when moving or touchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-11
Dose 2 — Moderna
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Cold like symptoms- runny/stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-05
- 2021-11-12
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2021-11-20
Survey response — day 21, dose 3MedDRA: Arthralgia, Headache, Pain in extremity — Feeling: FairFree text: Recently put this together. Both feet ache like arthritis type ache/hurt and have since getting my vaccine earlier this year. My feet were just starting to feel better when I got the booster. I have intermittent headaches I've never had before.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-05
- 2021-12-10
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Pain in extremity, Reaction to previous exposure to any vaccine, Vaccine positive rechallenge — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pain in both feet since I started vaccines in 2021. Seems to start getting better until I got my booster. Now both feet hurt bad again.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-01
- 2022-04-08
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2022-04-22
Call successfulParticipant prefers to complete VAERS report online
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2022-04-30
Survey response — 6 months, dose 3MedDRA: Arthralgia, Office visit, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint aches & pains. Both feet are painful - the entire foot both sides. · Healthcare visit (other): Podiatry doctorMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-05-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Very minor headache and may not be related
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Tenderness of shoulder when moving or touching
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cold like symptoms- runny/stuffy nose
Release 10 — day 21, dose 3
Symptoms: Recently put this together. Both feet ache like arthritis type ache/hurt and have since getting my vaccine earlier this year. My feet were just starting to feel better when I got the booster. I have intermittent headaches I've never had before.
Release 11 — 3 months, dose 3
Symptoms: Pain in both feet since I started vaccines in 2021. Seems to start getting better until I got my booster. Now both feet hurt bad again.
Release 11 — 6 months, dose 3
Symptoms: Joint aches & pains. Both feet are painful - the entire foot both sides.
Healthcare visit (other): Podiatry doctor
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release