544-36713-99892
5 vaccinations
6 coded responses
62 check-ins
4 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 432 / OH
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
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2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Back pain, Chest pain, Dizziness, Feeling abnormal — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Ache in my back and chest; i feel a little dizzy or spacy intermittentlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
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2021-02-23
Survey response — day 21, dose 1MedDRA: Back pain, Cardiac stress test, Catheterisation cardiac, Chest pain, Electrocardiogram, Electrocardiogram abnormal, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I had chest pain and pain in my back. Abnormal ecg and Stress test followed by cardiac cathertization. Test result did not show a heart problem. Not sure what it was at this point. · Healthcare visit (other): Dr. office visit, ecg, stress test, cardiac cath.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
-
2021-03-11
Survey response — day 7, dose 2MedDRA: Chest pain, Musculoskeletal chest pain, Painful respiration — Feeling: Fair · Fatigue or tirednessFree text: my chest and ribcage ache when I breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-06-01
- 2021-08-19
- 2021-08-24
- 2021-08-31
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Joint painsAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-13
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
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2022-10-12
Survey response — 6 months, dose 4MedDRA: Ageusia, Arthralgia, Fatigue, Gastrointestinal disorder, Influenza like illness, Myalgia, Office visit, Telemedicine — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: flu like symptomsachy muscles and joints, gastrointestinal symptoms, loss of taste (but not smell) fatigue. · Healthcare visit (other): telehealth -+ follow up 2 weeks later with routine 6 mo checkupMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-13
Call successfulDoes not wish to fill out VAERS report
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2022-10-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-18
Dose 5 — Moderna
-
2022-11-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-11-20
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-24
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2022-12-30
-
2023-02-17
Survey response — 3 months, dose 5MedDRA: Chest discomfort, Chest pain, Headache, Malaise, Musculoskeletal stiffness, Office visit, Pain in extremity, Pain in jaw, Paraesthesia oral, Reaction to previous exposure to any vaccine, Tinnitus, Viral infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-02-17
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2023-02-20
Call successfulDoes not wish to fill out VAERS report
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2023-05-19
Survey response — 6 months, dose 5MedDRA: Abdominal pain, Arthralgia, Back pain, Fatigue, Headache, Night sweats, Office visit, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-19
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
-
2023-05-22
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-11-18 | Moderna | No |
Call center
4 call center cases
4 successful
1 wait over 3 months for a first call
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Ache in my back and chest; i feel a little dizzy or spacy intermittently
Release 4 — day 21, dose 1
Symptoms: I had chest pain and pain in my back. Abnormal ecg and Stress test followed by cardiac cathertization. Test result did not show a heart problem. Not sure what it was at this point.
Healthcare visit (other): Dr. office visit, ecg, stress test, cardiac cath.
Release 5 — day 7, dose 2
Systemic reaction (other): my chest and ribcage ache when I breathe
Release 12 — 6 months, dose 4
Symptoms: flu like symptomsachy muscles and joints, gastrointestinal symptoms, loss of taste (but not smell) fatigue.
Healthcare visit (other): telehealth -+ follow up 2 weeks later with routine 6 mo checkup
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 | Cardiac stress test | ○ | ✓ | ○ |
| HCVO | Catheterisation cardiac | ○ | ✓ | ○ |
| HCVO | Electrocardiogram | ○ | ✓ | ○ |
| HCVO | Malaise | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Telemedicine | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Electrocardiogram abnormal | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Paraesthesia oral | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release