557-13231-87278
3 vaccinations
7 coded responses
30 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 991 / WA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Peripheral coldness — Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Last night my feet were like ice. Wrapped them in heating pad and they still wouldnt warm up. Had difficulty sleeping last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Digestive disorder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-26
-
2021-04-02
Survey response — day 35, dose 2MedDRA: Gastrointestinal disorder, Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: More digestive issues, more frequent migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-30
- 2021-08-27
-
2021-10-31
Dose 3 — Moderna
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Balance disorder — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Balance issuesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
-
2021-12-05
Survey response — day 35, dose 3MedDRA: Gastrointestinal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pain throughout digestive systemMedDRA releases: 2024-11 · check-in free text available
- 2021-12-12
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2022-01-30
Survey response — 3 months, dose 3MedDRA: Abdominal discomfort, Dyspepsia, Food intolerance, Gastrointestinal disorder — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Digestive issues. Indigestion, upset stomach, food sensitivities. Goes away and returns.MedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Survey response — 6 months, dose 3MedDRA: Lymphadenopathy, Malaise, Neck pain, Oropharyngeal pain, Pyrexia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, swollen glands, low grade fever, painful neck from jawline down, feeling unwell.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-01
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-05-02
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Last night my feet were like ice. Wrapped them in heating pad and they still wouldnt warm up. Had difficulty sleeping last night.
Release 5 — day 14, dose 2
Symptoms: Digestive disorder.
Release 6 — day 35, dose 2
Symptoms: More digestive issues, more frequent migraines.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Balance issues
Release 10 — day 35, dose 3
Symptoms: Pain throughout digestive system
Release 11 — 3 months, dose 3
Symptoms: Digestive issues. Indigestion, upset stomach, food sensitivities. Goes away and returns.
Release 11 — 6 months, dose 3
Symptoms: Sore throat, swollen glands, low grade fever, painful neck from jawline down, feeling unwell.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Food intolerance | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release