565-28325-68641
5 vaccinations
9 coded responses
54 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 432 / OH
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-04
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Ocular discomfort — Feeling: Good · FeverFree text: My eyes have been feeling like there's pressure behind them for about 3 days. Not severe, just a bit uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Ligament sprain — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My ankle has felt like I sprained it since Thursday night, though I did nothing to injure it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Joint instability — Feeling: Good · Site: Pain · Fever · Joint painsFree text: Ankle still wonky.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Affect lability, Joint instability, Oedema peripheral — Feeling: Good · FeverFree text: Ankle continues instability, though no injury occured.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Immunisation reaction — Feeling: Good · Fever · Fatigue or tirednessFree text: Ankle is improving, but my temperature is stubbornly elevated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Unlikely related to the vaccine, but have had unexplained, intermittent knee and ankle aches. Knee xrays showed nothing. · Healthcare visit (other): PCPMedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-11-22
Dose 3 — Moderna
- 2021-12-10
- 2021-12-14
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2021-12-14
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-01
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2022-05-18
Dose 4 — Pfizer-BioNTech
- 2022-05-18
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2022-05-19
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
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2022-05-24
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Insomnia — Feeling: Fair · HeadacheFree text: This headache seems to be worsening, especially at night. It's making sleep very difficult.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-06-29
- 2022-08-17
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2022-09-23
Dose 5 — Pfizer-BioNTech
- 2022-09-23
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2022-09-24
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-25
- 2022-09-26
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2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Chills, Feeling hot, Hyperhidrosis — Feeling: GoodFree text: For several hours last evening, I vacillated between being hot & sweaty, and chilled, but my body temp was normal. Not a big deal, but odd.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-29
- 2022-11-04
- 2022-12-23
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2023-03-24
Survey response — 6 months, dose 5MedDRA: Anosmia, COVID-19, Rhinorrhoea — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-18 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My eyes have been feeling like there's pressure behind them for about 3 days. Not severe, just a bit uncomfortable.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): My ankle has felt like I sprained it since Thursday night, though I did nothing to injure it.
Systemic reaction (other): Ankle still wonky.
Systemic reaction (other): Ankle continues instability, though no injury occured.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ankle is improving, but my temperature is stubbornly elevated.
Release 9 — 6 months, dose 2
Symptoms: Unlikely related to the vaccine, but have had unexplained, intermittent knee and ankle aches. Knee xrays showed nothing.
Healthcare visit (other): PCP
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): This headache seems to be worsening, especially at night. It's making sleep very difficult.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): For several hours last evening, I vacillated between being hot & sweaty, and chilled, but my body temp was normal. Not a big deal, but odd.
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 | Anosmia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Affect lability | ○ | ✓ | ○ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Joint instability | ✓ | ✓ | ✓ |
| SRO | Ligament sprain | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release