54G-13840-13012
3 vaccinations
10 coded responses
37 check-ins
10 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 483 / MI
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: Coughing, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
-
2021-05-05
Survey response — day 21, dose 2MedDRA: Hypersensitivity, Nausea, Pre-existing disease — Feeling: FairFree text: Probably allergy related; digestive issues and some nausea. Have bad seasonal allergies but worse this year. Not sure if related but a lot of my vaxxed friends are having similar issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-13
Survey response — 6 months, dose 2MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Annual sinus/upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-13
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-15
Call successfulParticipant prefers to complete VAERS report online
-
2021-10-26
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Condition aggravated, Hypersensitivity, Pre-existing disease, Sinus disorder — Feeling: Good · Site: PainFree text: Allergies/sinus issues worse than normal. CDC already looking into possible connectionMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Sinus disorder — Feeling: Good · Fatigue or tirednessFree text: Bad allergies/sinus issuesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
-
2021-11-02
Survey response — day 7, dose 3MedDRA: Pre-existing disease, Sinus disorder — Feeling: Good · Headache, Fatigue or tirednessFree text: Above is probably due to awful allergies and sinus issues. CDC has contacted me after I submitted a theroy about possible connection.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
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2021-11-30
Survey response — day 35, dose 3MedDRA: Sinusitis, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinusitis again. · Healthcare visit (other): Appointment with ENT ThursdayMedDRA releases: 2024-11 · check-in free text available
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2021-11-30
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-01
Call successfulCompleted over the phone
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2021-12-07
Survey response — day 42, dose 3MedDRA: Office visit, Sinusitis, Upper respiratory tract infection — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Another sinus/upper respitory infection. VAER's already contacted me. · Healthcare visit (other): ENT visit 12/02. Prescribed Zithromax.MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-08
Call successfulReported to VAERS during previous contact from GDIT
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2022-01-25
Survey response — 3 months, dose 3MedDRA: SARS-CoV-2 test negative, Sinusitis, Upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Another sinus/upper respiratory infection. Started on Zithromax today. Two negative Covid tests.MedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-01
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Sinusitis, Upper respiratory tract infection — Feeling: Poor · 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: Severe sinus/upper respiratory infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — 6 months, dose 3Be 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)
- 2022-04-28
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
5 call center cases
3 successful · 2 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing, congestion
Release 8 — day 21, dose 2
Symptoms: Probably allergy related; digestive issues and some nausea. Have bad seasonal allergies but worse this year. Not sure if related but a lot of my vaxxed friends are having similar issues.
Release 10 — 6 months, dose 2
Symptoms: Annual sinus/upper respiratory infection
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Allergies/sinus issues worse than normal. CDC already looking into possible connection
Systemic reaction (other): Bad allergies/sinus issues
Release 10 — day 7, dose 3
Systemic reaction (other): Above is probably due to awful allergies and sinus issues. CDC has contacted me after I submitted a theroy about possible connection.
Release 10 — day 35, dose 3
Release 10 — day 42, dose 3
Symptoms: Another sinus/upper respitory infection. VAER's already contacted me.
Healthcare visit (other): ENT visit 12/02. Prescribed Zithromax.
Release 11 — 3 months, dose 3
Symptoms: Another sinus/upper respiratory infection. Started on Zithromax today. Two negative Covid tests.
Release 11 — 6 months, dose 3
Symptoms: Severe sinus/upper respiratory infection
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 | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Hypersensitivity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release