534-11549-31048
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 021 / MA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Dose 1 — Moderna
-
2021-03-30
Registered in v-safe
- 2021-03-30
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Nausea, Pyrexia, Vomiting — Feeling: GoodFree text: No symptoms 4 days out from the first shot. 7 hours after my first dose I did feel mildly feverish, and had nausea (with vomiting) and headache the day after Sunday 3/28). These symptoms resolved by Sunday evening (so within 24 hours from when I felt felt them). Wanted to be sure to include that since I didnt join vsafe until 3 days after the dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-11
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
-
2021-04-24
Survey response — day 0, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Had a headache already when I got the 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-24
- 2021-05-29
- 2021-06-05
- 2021-07-24
-
2021-10-23
Survey response — 6 months, dose 2MedDRA: Breast cancer — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Early stage breast cancer diagnosisMedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2021-10-25
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No symptoms 4 days out from the first shot. 7 hours after my first dose I did feel mildly feverish, and had nausea (with vomiting) and headache the day after Sunday 3/28). These symptoms resolved by Sunday evening (so within 24 hours from when I felt felt them). Wanted to be sure to include that since I didnt join vsafe until 3 days after the dose.
Release 7 — day 0, dose 2
Systemic reaction (other): Had a headache already when I got the 2nd dose
Release 10 — 6 months, dose 2
Symptoms: Early stage breast cancer diagnosis
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 | Breast cancer | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release