52K-31975-00149
5 vaccinations
9 coded responses
59 check-ins
8 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 410 / KY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Chills, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-04-03
- 2021-04-07
- 2021-05-26
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2021-08-25
Survey response — 6 months, dose 2MedDRA: Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Lightheaded sometimes. Just last 4 or 5 days. · Healthcare visit (other): Normal doctor visit.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-01
-
2021-09-07
Call successfulDoes not wish to fill out VAERS report
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
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2021-11-12
Survey response — day 14, dose 3MedDRA: Dizziness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I am having dizziness. Not sure if it is related to the vaccine. · Healthcare visit (other): Regular doctor visit. He requested a CT scan of head. Go on Monday for that.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-15
- 2021-11-17
- 2021-11-24
- 2021-12-02
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Bronchitis, Cough, Office visit, Rhinorrhoea, Sneezing, Throat irritation, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Runny nose, sneezing, scratchy throat, and some cough. Went to doctor, he said i have acute bronchitis. Prescribed medications. · Healthcare visit (other): Made appointment with my doctor.MedDRA releases: 2024-11 · check-in free text available
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2021-12-08
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-09
- 2022-01-26
-
2022-04-19
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-21
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Around both shoulders and breasts.MedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Joint pains, Muscle or body achesAdult check-in
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-20
- 2022-10-18
-
2022-10-22
Dose 5 — Moderna
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2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness — Feeling: GoodFree text: Some light headedness.MedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: Musculoskeletal stiffness — Feeling: GoodFree text: Neck is a little stiff.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness — Feeling: GoodFree text: Lightheaded a little.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 28, dose 5MedDRA: Fall, Impaired work ability, Medical counselling, Musculoskeletal discomfort, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My back is causing me some discomfort. But i think it is from my job and my fall scrubbing in my house. Taking meds from doctor and is much better today. No work for 4 days to give it some rest. · Healthcare visit (other): My annual checkup and called doctor this week.MedDRA releases: 2024-11 · check-in free text available
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2022-11-19
Report sent to call center — day 28, dose 5Get care from a doctor or other healthcare professional1 call case(s)
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2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-26
- 2022-12-03
-
2023-01-21
Survey response — 3 months, dose 5MedDRA: COVID-19, Chills, Cough, Headache, Pain, Pyrexia, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-22 | Moderna | No |
Call center
4 call center cases
4 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Lightheaded sometimes. Just last 4 or 5 days.
Healthcare visit (other): Normal doctor visit.
Release 10 — day 14, dose 3
Symptoms: I am having dizziness. Not sure if it is related to the vaccine.
Healthcare visit (other): Regular doctor visit. He requested a CT scan of head. Go on Monday for that.
Release 10 — day 42, dose 3
Symptoms: Runny nose, sneezing, scratchy throat, and some cough. Went to doctor, he said i have acute bronchitis. Prescribed medications.
Healthcare visit (other): Made appointment with my doctor.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Around both shoulders and breasts.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Some light headedness.
Systemic reaction (other): Neck is a little stiff.
Systemic reaction (other): Lightheaded a little.
Release 12 — day 28, dose 5
Symptoms: My back is causing me some discomfort. But i think it is from my job and my fall scrubbing in my house. Taking meds from doctor and is much better today. No work for 4 days to give it some rest.
Healthcare visit (other): My annual checkup and called doctor this week.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Musculoskeletal discomfort | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release