59Q-15873-69220
3 vaccinations
9 coded responses
40 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 720 / AR
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Self-medication — Feeling: FairFree text: Sinus headache. Might me more related to extreme cold weather and snow. Even though I have been inside the heating unit is doing the best it can. The problem is mild. Took 2 Tylenol at 2 pmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
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2021-04-18
Survey response — day 35, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had covid test on 413-21. Negative. Back surgery on 5-15-22MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2021-06-13
Survey response — 3 months, dose 2MedDRA: Spinal operation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Back surgery April 15 2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-10
-
2021-10-26
Dose 3 — Moderna
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Self-medication — Feeling: GoodFree text: The day of the injection site was a little sore so I took Tylenol one timeMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Medical counselling — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: When to CVS to report the reaction to injectionMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: The site is getting better each dayMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-11-02
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Redness, SwellingFree text: Getting better each dayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Medical counselling, Oropharyngeal pain, Pyrexia — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever and sore throat · Healthcare visit (other): Call to drMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
-
2022-04-27
Call successfulDoes not wish to fill out VAERS report
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2022-10-26
Survey response — 12 months, dose 3MedDRA: Office visit, SARS-CoV-2 test positive — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested positive for Covid · Healthcare visit (other): PCP appointmentMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sinus headache. Might me more related to extreme cold weather and snow. Even though I have been inside the heating unit is doing the best it can. The problem is mild. Took 2 Tylenol at 2 pm
Release 7 — day 35, dose 2
Symptoms: Had covid test on 413-21. Negative. Back surgery on 5-15-22
Release 9 — 3 months, dose 2
Symptoms: Back surgery April 15 2021
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day of the injection site was a little sore so I took Tylenol one time
Systemic reaction (other): When to CVS to report the reaction to injection
Systemic reaction (other): The site is getting better each day
Release 10 — day 7, dose 3
Systemic reaction (other): Getting better each day
Release 11 — 6 months, dose 3
Release 12 — 12 months, dose 3
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Spinal operation | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Medical counselling | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release