4U9-47612-22045
4 vaccinations
10 coded responses
53 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 940 / CA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
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2021-04-10
Dose 1 — Moderna
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2021-04-10
Survey response — day 0, dose 1MedDRA: Paraesthesia oral — Feeling: GoodFree text: Slight tingling at back of tongue/roof of mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-12
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Photophobia — Feeling: GoodFree text: Felt like I was going to get a headache, triggered by bright light, in the last 24hr but did not get a full blown headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Fatigue or tiredness, Abdominal painFree text: These symptoms today are not from the vaccine but due to getting my periodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness, Abdominal painFree text: These symptoms are likely from my period, not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 14, dose 1MedDRA: Erythema — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Developed a red patch on the arm where I was vaccinated. Started on Monday, it is mostly gone today. Grew to about 6cm by 10cm in size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-01
-
2021-05-08
Dose 2 — Moderna
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2021-05-08
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tiredness, Abdominal painAdult check-in
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-05-10
- 2021-05-11
- 2021-05-12
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2021-05-13
Survey response — days 1–6 daily, dose 2MedDRA: Pharyngeal paraesthesia — Feeling: GoodFree text: Tingly top of throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Throat irritation — Feeling: Good · HeadacheFree text: Throat felt tingly brieflyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-15
- 2021-05-22
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2021-05-29
Survey response — day 21, dose 2MedDRA: Hyperhidrosis, Throat tightness, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: Throat felt tight, was warm, sweaty palms, was shaking and couldnt stop. Seemed like a vasovagal reaction other than the shaking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
- 2021-06-19
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2021-08-07
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: GoodFree text: HeadacheMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-07
-
2021-11-08
Dose 3 — Moderna
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-30
- 2021-12-06
- 2021-12-14
- 2021-12-20
- 2022-02-07
- 2022-04-08
-
2022-04-25
Call successfulCompleted over the phone
- 2022-05-11
-
2022-09-12
Dose 4 — Pfizer-BioNTech
- 2022-09-12
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2022-09-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-26
- 2022-10-03
- 2022-10-10
- 2022-10-17
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2022-10-24
Survey response — day 42, dose 4MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, congestion, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-25
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-09-12 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-24 | Successful 2022-04-25 |
Completed over the phone |
| 2022-10-24 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Slight tingling at back of tongue/roof of mouth
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Felt like I was going to get a headache, triggered by bright light, in the last 24hr but did not get a full blown headache
Systemic reaction (other): These symptoms today are not from the vaccine but due to getting my period
Release 7 — day 7, dose 1
Systemic reaction (other): These symptoms are likely from my period, not the vaccine
Release 7 — day 14, dose 1
Symptoms: Developed a red patch on the arm where I was vaccinated. Started on Monday, it is mostly gone today. Grew to about 6cm by 10cm in size.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Tingly top of throat
Systemic reaction (other): Throat felt tingly briefly
Release 8 — day 21, dose 2
Symptoms: Throat felt tight, was warm, sweaty palms, was shaking and couldnt stop. Seemed like a vasovagal reaction other than the shaking.
Release 9 — 3 months, dose 2
Symptoms: Headache
Release 12 — day 42, dose 4
Symptoms: Sore throat, congestion, headache
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Throat tightness | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pharyngeal paraesthesia | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release