4RU-30561-30553
2 vaccinations
5 coded responses
14 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 740 / OK
- Registered
- 2021-05-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-13
Registered in v-safe
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2021-05-13
Dose 1 — Moderna
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2021-05-13
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-16
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2021-05-22
Health check-in — day 7, dose 1Feeling: Fair · Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-27
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2021-06-03
Survey response — day 21, dose 1MedDRA: Intermenstrual bleeding, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Spotting instead of a normal period. Never had this before. · Healthcare visit (other): Doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-08
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2021-06-10
Dose 2 — Moderna
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2021-06-10
Survey response — day 0, dose 2MedDRA: Ageusia, Pain in extremity — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, NauseaFree text: Taste buds gone and pain in right legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-06-12
Survey response — days 1–6 daily, dose 2MedDRA: Ageusia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: No taste budsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-06-14
- 2021-06-24
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2021-07-01
Survey response — day 21, dose 2MedDRA: Colitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Inflamed transverse and ascending colon - was not present before first or second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-13 | Moderna | |
| 2 | 2021-06-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-03 | Unsuccessful | |
| 2021-07-01 | Unsuccessful |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 8 — day 21, dose 1
Symptoms: Spotting instead of a normal period. Never had this before.
Healthcare visit (other): Doctors office
Release 9 — day 0, dose 2
Systemic reaction (other): Taste buds gone and pain in right leg
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): No taste buds
Release 9 — day 21, dose 2
Symptoms: Inflamed transverse and ascending colon - was not present before first or second dose.
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 | Colitis | ✓ | ✓ | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release