5A2-23960-49677
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 315 / GA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-14
Dose 1 — Moderna
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2021-03-31
Registered in v-safe
- 2021-03-31
- 2021-04-04
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2021-04-11
Dose 2 — Moderna
- 2021-04-11
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Ear ache, slight fever my normal body temp is below average.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dry skin, Erythema, Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I have had a rash on my hands and feet. It caused my hands and feet to become dry and red and itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-18
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Survey response — day 14, dose 2MedDRA: Renal pain — Feeling: GoodFree text: My left kidney has been hurting for the past few days. Probably not related but wanted to include it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 21, dose 2MedDRA: Renal pain — Feeling: GoodFree text: Pain in my left kidney. Dont know if it has to do with the vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-16
- 2021-05-23
- 2021-07-11
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2021-10-10
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I got sick with the new delta variant of Covid the first week in August.MedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Survey response — 12 months, dose 2MedDRA: Brain fog, COVID-19, Fatigue — Feeling: Good · Be unable to work or attend school, 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: I got Covid in August. I've had brain fog off and on since and will still get extremely tired.MedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-13
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-11 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Ear ache, slight fever my normal body temp is below average.
Systemic reaction (other): I have had a rash on my hands and feet. It caused my hands and feet to become dry and red and itchy
Release 8 — day 14, dose 2
Symptoms: My left kidney has been hurting for the past few days. Probably not related but wanted to include it.
Release 8 — day 21, dose 2
Symptoms: Pain in my left kidney. Dont know if it has to do with the vaccine or not.
Release 10 — 6 months, dose 2
Symptoms: I got sick with the new delta variant of Covid the first week in August.
Release 11 — 12 months, dose 2
Symptoms: I got Covid in August. I've had brain fog off and on since and will still get extremely tired.
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 | Brain fog | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Renal pain | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release