52B-21438-31528
5 vaccinations
7 coded responses
60 check-ins
7 free-text entries
3 call cases
- Sex
- Male
- Age at first dose
- 61-65
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-28
-
2021-02-04
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-12
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-02-15
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-05-14
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Dyspnoea exertional, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Some shortness of breath when jogging. · Healthcare visit (other): Have appointment in 2 weeksMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-29
-
2022-06-07
Dose 4 — Pfizer-BioNTech
- 2022-06-07
- 2022-06-08
- 2022-06-10
- 2022-06-11
-
2022-06-12
Survey response — days 1–6 daily, dose 4MedDRA: Iron deficiency anaemia — Feeling: GoodFree text: Iron deficiency anemia developed after my first boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-14
- 2022-06-23
-
2022-06-28
Survey response — day 21, dose 4MedDRA: Iron deficiency anaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: This occurred a few months after my first mRNA booster. I developed iron deficiency anemia. A work up is in progress. I have never had COVID as far as I know.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-28
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-29
- 2022-06-29
- 2022-06-30
-
2022-06-30
Callback requested for09:00AM ET
- 2022-06-30
-
2022-06-30
Callback requested for09:00AM ET
- 2022-07-06
-
2022-07-22
Survey response — day 42, dose 4MedDRA: Iron deficiency anaemia — Feeling: GoodFree text: I have developed iron deficiency anemia since starting my vaccine series in 2021. I know you have tried to contact me by phone for more info. Please try again.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-06
Survey response — 3 months, dose 4MedDRA: COVID-19, Fatigue, Oropharyngeal pain, Rhinorrhoea — 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 visitFree text: Had confirmed COVID infection august 31, 2022 with running nose, sore throat and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-09-06
Report sent to call center — 3 months, dose 4Be 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)
-
2022-09-07
Call successfulParticipant prefers to complete VAERS report online
-
2022-09-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-15
Dose 5 — Pfizer-BioNTech
- 2022-11-17
- 2022-11-18
- 2022-11-19
- 2022-11-21
- 2022-11-22
- 2022-11-29
- 2022-12-06
-
2022-12-13
Survey response — day 28, dose 5MedDRA: Fatigue, SARS-CoV-2 test negative, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Scratchy throat and fatigue. COVID negative times 3 over 3 days. Feeling better now.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-20
- 2022-12-27
- 2023-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-06-07 | Pfizer-BioNTech | No |
| 5 | 2022-11-15 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
Free text
Release 3 — day 21, dose 1
Symptoms: Fatigue
Release 11 — 6 months, dose 3
Symptoms: Some shortness of breath when jogging.
Healthcare visit (other): Have appointment in 2 weeks
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Iron deficiency anemia developed after my first booster
Release 12 — day 21, dose 4
Symptoms: This occurred a few months after my first mRNA booster. I developed iron deficiency anemia. A work up is in progress. I have never had COVID as far as I know.
Release 12 — day 42, dose 4
Symptoms: I have developed iron deficiency anemia since starting my vaccine series in 2021. I know you have tried to contact me by phone for more info. Please try again.
Release 12 — 3 months, dose 4
Symptoms: Had confirmed COVID infection august 31, 2022 with running nose, sore throat and fatigue
Release 12 — day 28, dose 5
Symptoms: Scratchy throat and fatigue. COVID negative times 3 over 3 days. Feeling better now.
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 | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Iron deficiency anaemia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Iron deficiency anaemia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release