4TN-27270-32817
1 vaccination
5 coded responses
13 check-ins
5 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 030 / NH
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
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2021-01-07
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Mid sternal rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-07
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-01-08
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessFree text: Sore throat, stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-21
Survey response — day 14, dose 1MedDRA: Musculoskeletal stiffness — 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: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — day 14, dose 1Be 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)
- 2021-01-26
- 2021-02-02
- 2021-02-10
- 2021-02-16
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2021-07-06
Survey response — 6 months, dose 1MedDRA: Influenza, Nasopharyngitis, Pregnancy — 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 · Telehealth, virtual health, or email health consultationFree text: Pregnant and recently got very sick with a flu/ cold ( I was not tested for covid)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-06
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-08
- 2021-07-09
- 2022-01-05
- 2022-11-30
- 2022-11-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-07 | priority 2/3 | |
| 2021-01-08 | priority 2/3 | |
| 2021-01-09 | priority 2/3 | |
| 2021-01-12 | priority 2/3 | |
| 2021-01-21 | Unsuccessful | |
| 2021-07-06 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Mid sternal rash
Systemic reaction (other): Night sweats
Systemic reaction (other): Sore throat, stuffy nose
Release 2 — day 14, dose 1
Symptoms: Stiff neck
Release 9 — 6 months, dose 1
Symptoms: Pregnant and recently got very sick with a flu/ cold ( I was not tested for covid)
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 | Influenza | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release