4RA-31800-26417
5 vaccinations
9 coded responses
65 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-14
Registered in v-safe
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-27
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Itchiness at vaccination sight on arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: My normal body temp is 97.6 so 99.1 is slightly elevatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Diarrhea, Abdominal painAdult check-in
- 2021-03-19
-
2021-03-20
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-19
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2022-02-01
-
2022-04-12
Dose 4 — Moderna
- 2022-04-12
-
2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-05
- 2022-05-10
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2022-05-17
Survey response — day 35, dose 4MedDRA: COVID-19, Fatigue, Headache, Medical counselling, Myalgia, Office visit, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, 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: Symptoms: Diagnosed with Covid19. Symptoms include: fever, sore throat, muscle aches, congestion, headache, fatigue · Healthcare visit (other): Phone call w primary care physician in addition to urgent care visitMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-18
-
2022-05-18
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-24
- 2022-07-12
-
2022-10-06
Dose 5 — Moderna
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2022-10-06
Survey response — day 0, dose 5MedDRA: Nasal congestion, Nasopharyngitis — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Currently have a cold (nasal congestion), but no fever.MedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I have a slight cold - nasal congestion, which I had when I got my vaccineMedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-11
- 2022-10-12
- 2022-10-13
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2022-10-22
Survey response — day 14, dose 5MedDRA: Nasopharyngitis — Feeling: FairFree text: Beginnings of a cold. Husband has a cold and cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
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2022-11-03
Survey response — day 28, dose 5MedDRA: Cough, Nasopharyngitis, Throat irritation — Feeling: FairFree text: Have a cold and scratchy throat and slight coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Survey response — day 35, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: FairFree text: Have a cold. No fever, and no positive covid testsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-17
- 2023-01-05
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2023-04-08
Survey response — 6 months, dose 5MedDRA: Pharyngitis streptococcal — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-04-08
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-04-11
-
2023-04-12
Callback requested foranytime
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 4 — day 14, dose 1
Symptoms: Itchiness at vaccination sight on arm.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My normal body temp is 97.6 so 99.1 is slightly elevated
Release 11 — day 35, dose 4
Symptoms: Diagnosed with Covid19. Symptoms include: fever, sore throat, muscle aches, congestion, headache, fatigue
Healthcare visit (other): Phone call w primary care physician in addition to urgent care visit
Release 12 — day 0, dose 5
Systemic reaction (other): Currently have a cold (nasal congestion), but no fever.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I have a slight cold - nasal congestion, which I had when I got my vaccine
Release 12 — day 14, dose 5
Symptoms: Beginnings of a cold. Husband has a cold and cough.
Release 12 — day 28, dose 5
Symptoms: Have a cold and scratchy throat and slight cough
Release 12 — day 35, dose 5
Symptoms: Have a cold. No fever, and no positive covid tests
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release