52P-29535-60236
2 vaccinations
4 coded responses
23 check-ins
4 free-text entries
3 call cases
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 060 / CT
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-01-10
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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2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
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2021-01-29
Survey response — day 21, dose 1MedDRA: Dry mouth — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Survey response — day 28, dose 1MedDRA: Arthralgia, Back pain — 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: Unexplained joint pain in back, hips, knees and ankles.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to workAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Oral blood blister — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Blood blister on the inside of my mouth (cheek wall)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-16
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-18
- 2021-03-25
- 2021-05-11
- 2021-07-15
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Diminished ovarian reserve, Infertility — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Miscarriage Infertility, diminished ovarian reserveMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-10 | priority 2/3 | |
| 2021-02-07 | Unsuccessful | |
| 2021-08-10 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: Dry mouth
Release 3 — day 28, dose 1
Symptoms: Unexplained joint pain in back, hips, knees and ankles.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Blood blister on the inside of my mouth (cheek wall)
Release 9 — 6 months, dose 2
Symptoms: Miscarriage Infertility, diminished ovarian reserve
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 | Abortion spontaneous | ✓ | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Diminished ovarian reserve | ✓ | · | ✓ |
| SD | Dry mouth | ✓ | ✓ | ✓ |
| SD | Infertility | ✓ | · | ✓ |
| SRO | Oral blood blister | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release