569-93187-90354
3 vaccinations
6 coded responses
30 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 846 / UT
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Dose 1 — Moderna
-
2021-08-20
Registered in v-safe
-
2021-08-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-21
-
2021-08-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-24
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Runny noseMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Runny nose, sneezing for a few daysMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-26
Survey response — day 7, dose 1MedDRA: Nasal congestion — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaFree text: Stuffy noseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-27
- 2021-09-02
- 2021-09-09
-
2021-09-14
Dose 2 — Moderna
-
2021-09-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-09-17
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Nausea, Abdominal painAdult check-in
- 2021-09-19
- 2021-09-20
- 2021-09-21
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-19
- 2021-10-26
- 2021-12-14
- 2022-03-15
-
2022-10-04
Dose 3 — Moderna
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2022-10-19
Survey response — day 14, dose 3MedDRA: Fatigue, Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: First night of shot, very fatigued and headache. Lasted 2 days and was bearable with tylenol and restMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
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2022-11-08
Survey response — day 35, dose 3MedDRA: Anxiety, Palpitations — Feeling: Good · Be unable to do your normal daily activitiesFree text: Anxiety, heart palpitationsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2023-01-05
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-14 | Moderna | No |
| 3 | 2022-10-04 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Runny nose
Systemic reaction (other): Runny nose, sneezing for a few days
Release 9 — day 7, dose 1
Systemic reaction (other): Stuffy nose
Release 12 — day 14, dose 3
Symptoms: First night of shot, very fatigued and headache. Lasted 2 days and was bearable with tylenol and rest
Release 12 — day 35, dose 3
Symptoms: Anxiety, heart palpitations
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 | Anxiety | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Nasal congestion | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Rhinorrhoea | ✓ | · | ✓ |
| SRO | Sneezing | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release