4QA-27897-74281
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 210 / MD
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
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2021-04-06
Dose 1 — Moderna
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2021-04-06
Survey response — day 0, dose 1MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I feel loopy from tiredness. Also maybe a headache, but I get those daily anyway so it's hard to tell if it's from the vaccine or notMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Limb discomfort — Feeling: Good · Site: Pain · HeadacheFree text: I get headaches anyway. also my right leg was bothering me but that could be my self-diagnosed plantar fasciitis - I was on my feet yesterday more than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache — Feeling: FairFree text: tiredness from allergies and headaches from that being just my usual life . unrelated to vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-22
- 2021-04-27
-
2021-05-04
Dose 2 — Moderna
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2021-05-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: dizzy / vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-11
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2021-05-18
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a few pretty bad headaches with some migraines symptoms. my normal ones are on the left side but these were on the right.idk if it's related but happened last Weds thurs Fri . also I suddenly can't handle certain breakfast foods like eggsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-25
- 2021-06-01
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2021-06-08
Survey response — day 35, dose 2MedDRA: Ear pain, Herpes zoster, Pain, Pruritus, Skin irritation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I went to urgent care Sunday with ear pain and rash. They diagnosed me with shingles. I'm 29 lmao. it hasn't gone away yet. irritating painful itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-15
- 2021-08-04
- 2021-11-03
-
2021-11-17
Call successfulParticipant prefers to complete VAERS report online
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2022-01-18
Dose 3 — Pfizer-BioNTech
- 2022-07-19
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2022-01-18 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): I feel loopy from tiredness. Also maybe a headache, but I get those daily anyway so it's hard to tell if it's from the vaccine or not
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I get headaches anyway. also my right leg was bothering me but that could be my self-diagnosed plantar fasciitis - I was on my feet yesterday more than normal
Systemic reaction (other): tiredness from allergies and headaches from that being just my usual life . unrelated to vaccine
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): dizzy / vertigo
Release 8 — day 14, dose 2
Symptoms: I had a few pretty bad headaches with some migraines symptoms. my normal ones are on the left side but these were on the right.idk if it's related but happened last Weds thurs Fri . also I suddenly can't handle certain breakfast foods like eggs
Release 8 — day 35, dose 2
Symptoms: I went to urgent care Sunday with ear pain and rash. They diagnosed me with shingles. I'm 29 lmao. it hasn't gone away yet. irritating painful itchy
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin irritation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release