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53M-60361-53151

4 vaccinations 4 coded responses 39 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
190 / PA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Registered in v-safe
  2. 2021-03-13
    Dose 1 — Moderna
  3. 2021-03-13
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-10
    Dose 2 — Moderna
  14. 2021-04-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-08
    Survey response — day 28, dose 2
    MedDRA: Tongue discomfort — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Tongue feels like I burned it drinking a cup of coffee (but I didnt). Feels worse at night. Have these symptoms for about four days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-08
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  26. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-10
    Survey response — 3 months, dose 2
    MedDRA: Dry eye, Dry mouth — Feeling: Good
    Free text: Dry mouth (and eye) syndrome
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  29. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-13
    Dose 3 — Moderna
  31. 2022-04-10
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2022-04-18
  33. 2022-05-01
    Dose 4 — Moderna
  34. 2022-05-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  35. 2022-05-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  36. 2022-05-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-05-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Diarrhea, Abdominal pain
    Adult check-in
  40. 2022-05-08
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-15
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-06-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-12
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-08-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-30
    Survey response — 6 months, dose 4
    MedDRA: Bronchospasm, COVID-19, Cough, Office visit, SARS-CoV-2 test negative, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Got Covid August 18th. About 3 weeks after being Covid negative and no symptoms, I was diagnosed with "bronchospasm of airways" (cough, mild wheezing). Doc says can happen after any viral infection. · Healthcare visit (other): Also had follow-up visit after use of inhaler
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-10-30
    Report sent to call center — 6 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2022-10-31
  48. 2022-10-31
  49. 2022-11-07
    Call successful
    Participant prefers to complete VAERS report online
  50. 2022-11-07
    Call successful
    Participant prefers to complete VAERS report online
  51. 2023-05-01
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna
22021-04-10Moderna
32021-11-13Moderna No
42022-05-01Moderna No

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-13

Systemic reaction (other): No

Release 8 — day 28, dose 2

2021-05-08

Symptoms: Tongue feels like I burned it drinking a cup of coffee (but I didnt). Feels worse at night. Have these symptoms for about four days.

Release 9 — 3 months, dose 2

2021-07-10

Symptoms: Dry mouth (and eye) syndrome

Release 12 — 6 months, dose 4

2022-10-30

Symptoms: Got Covid August 18th. About 3 weeks after being Covid negative and no symptoms, I was diagnosed with "bronchospasm of airways" (cough, mild wheezing). Doc says can happen after any viral infection.
Healthcare visit (other): Also had follow-up visit after use of inhaler

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBronchospasm · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDry eye ✓ ✓ ✓
SDDry mouth ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDTongue discomfort ✓ ✓ ✓
SDWheezing · · ✓
SRONo adverse event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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