5BA-32213-43510
3 vaccinations
7 coded responses
23 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 070 / NJ
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis — Feeling: Good · Fatigue or tirednessFree text: SweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still had 99.5 F in evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Injection site was red and swollen yesterday but not reportedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Hyperhidrosis, Peripheral swelling — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Arm was red and swollen yesterday also. Lots of sweating all day yesterday. Neither symptom was reported yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
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2021-05-25
Survey response — 3 months, dose 2MedDRA: Office visit, Pruritus, Urticaria — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: After a week of amoxicillin, I had severe itching all over my body and hives. Lasted for a couple of weeks. Took Benadryl. Rare itches now. I have NEVER had a reaction to an antibiotic before. Could it be related to a hyper-immune system from vaccine · Healthcare visit (other): Doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-28
-
2021-11-02
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fever and fatigue for two days after my booster shot. Similar to my reactions for each of the two vaccines.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Call successfulNot applicable - Accidental Reporting
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2022-05-04
Survey response — 6 months, dose 3MedDRA: COVID-19, Decreased appetite, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had Covid recently. Fevers. Extreme fatigue. Loss of appetite. Took PaxlovidMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-05
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2022-05-05
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Sweating
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Still had 99.5 F in evening.
Systemic reaction (other): Injection site was red and swollen yesterday but not reported
Systemic reaction (other): Arm was red and swollen yesterday also. Lots of sweating all day yesterday. Neither symptom was reported yesterday.
Release 8 — 3 months, dose 2
Symptoms: After a week of amoxicillin, I had severe itching all over my body and hives. Lasted for a couple of weeks. Took Benadryl. Rare itches now. I have NEVER had a reaction to an antibiotic before. Could it be related to a hyper-immune system from vaccine cut off by CDC
Healthcare visit (other): Doctors office
Release 11 — 12 months, dose 2
Symptoms: Fever and fatigue for two days after my booster shot. Similar to my reactions for each of the two vaccines.
Release 11 — 6 months, dose 3
Symptoms: Had Covid recently. Fevers. Extreme fatigue. Loss of appetite. Took Paxlovid
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 | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release