55M-27851-61582
4 vaccinations
8 coded responses
34 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
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2021-01-20
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: Large red patch near vaccination site, itchy on same spotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — day 21, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: I have had a place on my arm right below where my injection was that turned pretty red and itched like crazy. About 4 in diameter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Poor · Site: Redness · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Terrible sharp pains in l. BreastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: Terrible stabbing pains in my left breast - shot was on right.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-08
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
-
2021-11-12
Dose 3 — Moderna
- 2022-02-05
- 2022-02-11
-
2022-04-28
Dose 4 — Moderna
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2022-05-14
Survey response — 6 months, dose 3MedDRA: Cardiac disorder, Office visit, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Heart related and back related · Healthcare visit (other): Pcp visitsMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-16
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2022-05-17
Call successfulParticipant prefers to complete VAERS report online
- 2022-05-19
- 2022-05-27
- 2022-06-02
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2022-06-11
Survey response — day 42, dose 4MedDRA: Neuralgia, Pain in extremity, Sciatica — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Right after the vaccination my left leg had terrible pain a sciatic nerve.MedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-06-13
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2022-07-28
Survey response — 3 months, dose 4MedDRA: Fatigue, Feeling hot, Rhinorrhoea — Feeling: FairFree text: Runny nose, hot all the time, tiredMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive Covid test on MondayMedDRA releases: 2024-11 · check-in free text available
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Large red patch near vaccination site, itchy on same spot
Release 2 — day 21, dose 1
Symptoms: I have had a place on my arm right below where my injection was that turned pretty red and itched like crazy. About 4 in diameter.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Terrible sharp pains in l. Breast
Systemic reaction (other): Terrible stabbing pains in my left breast - shot was on right.
Release 11 — 6 months, dose 3
Release 12 — day 42, dose 4
Symptoms: Right after the vaccination my left leg had terrible pain a sciatic nerve.
Release 12 — 3 months, dose 4
Symptoms: Runny nose, hot all the time, tired
Release 12 — 6 months, dose 4
Symptoms: Positive Covid test on Monday
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 | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling hot | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ○ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sciatica | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release