4RD-14120-82227
5 vaccinations
6 coded responses
39 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-29
- 2021-02-05
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
-
2021-02-24
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-21
- 2021-08-18
-
2021-10-27
Dose 3 — Moderna
- 2022-02-17
-
2022-05-01
Dose 4 — Moderna
-
2022-05-01
Health check-in — day 0, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-01
Survey response — 6 months, dose 3MedDRA: Rotator cuff syndrome — Feeling: Good · 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: Calcification tendinitis in both shoulders with impingement of the left shoulderMedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Report sent to call center — 6 months, dose 3Be 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)
-
2022-05-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-04
- 2022-05-05
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-16
- 2022-05-22
-
2022-05-29
Survey response — day 28, dose 4MedDRA: Blepharospasm, COVID-19, Cough, Diarrhoea, Epistaxis, Eye irritation, Fatigue, Respiratory tract congestion, Rhinorrhoea, Upper-airway cough syndrome — Feeling: Poor · 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: Covid related respiratory congestion, post nasal drip, cough, runny/bloody nose, eye twitching, eye irritation, diarrhea, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Report sent to call center — day 28, 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)
-
2022-06-01
Call successfulDoes not wish to fill out VAERS report
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2022-06-05
Survey response — day 35, dose 4MedDRA: Rash — Feeling: GoodFree text: A skin rash (lots of tiny bumps) on my arms, chest and neckMedDRA releases: 2024-11 · check-in free text available
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2022-06-12
Survey response — day 42, dose 4MedDRA: Asthenia, Breakthrough COVID-19, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have a persistent lack of stamina and frequent fatigue after having a breakthrough case of Covid recently.MedDRA releases: 2024-11 · check-in free text available
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2022-08-02
Survey response — 3 months, dose 4MedDRA: Breakthrough COVID-19, Cognitive disorder, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had mild chronic fatigue for many years due to preexisting medical conditions but since having a breakthrough infection of Covid three weeks after getting my second booster May 1st, I have had significantly more fatigue and cognitive issues.MedDRA releases: 2024-11 · check-in free text available
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2022-09-16
Dose 5 — Moderna
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2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-19
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
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2023-03-17
Survey response — 6 months, dose 5MedDRA: Condition aggravated, Pre-existing disease — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-17
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-20
-
2023-03-20
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-05-01 | Moderna | No |
| 5 | 2022-09-16 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 11 — 6 months, dose 3
Symptoms: Calcification tendinitis in both shoulders with impingement of the left shoulder
Release 11 — day 28, dose 4
Symptoms: Covid related respiratory congestion, post nasal drip, cough, runny/bloody nose, eye twitching, eye irritation, diarrhea, fatigue
Release 11 — day 35, dose 4
Symptoms: A skin rash (lots of tiny bumps) on my arms, chest and neck
Release 12 — day 42, dose 4
Symptoms: I have a persistent lack of stamina and frequent fatigue after having a breakthrough case of Covid recently.
Release 12 — 3 months, dose 4
Symptoms: I have had mild chronic fatigue for many years due to preexisting medical conditions but since having a breakthrough infection of Covid three weeks after getting my second booster May 1st, I have had significantly more fatigue and cognitive issues. cut off by CDC
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 | Asthenia | · | · | ✓ |
| SD | Blepharospasm | · | · | ✓ |
| SD | Breakthrough COVID-19 | · | · | ✓ |
| SD | Cognitive disorder | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Rotator cuff syndrome | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release