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5BW-28249-06082

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
770 / TX
Registered
2020-12-27
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-26
    Dose 1 — Moderna
  2. 2020-12-27
    Registered in v-safe
  3. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Sore throat, nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2020-12-29
    Report sent to call center — days 1–6 daily, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  8. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-03
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-01-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-18
  12. 2021-01-22
    Dose 2 — Moderna
  13. 2021-01-22
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypersomnia, Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Insomnia last night, then slept most of today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-23
    Survey response — 6 months, dose 2
    MedDRA: Chills, Cough, Hyperhidrosis, Nasal congestion, Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Vomiting — 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 · Emergency room or emergency department visit
    Free text: I tested positive for COVID on July 8. Sore throat, cough, and nasal congestion began on July 6. Fever July 8-10, highest was 102.7. Nausea and vomitting July 9. Chills, sweating July 9 to 10 and conti ued with occasional sweating till July 17.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-07-23
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  28. 2021-07-27
  29. 2021-07-28
    Call successful
    Participant prefers to complete VAERS report online
  30. 2022-01-24
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I had COVID. Symptoms began on the evening of January 3. Tested positive on January 6.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-26Moderna
22021-01-22Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-29

Systemic reaction (other): Sore throat, nasal congestion

Release 2 — days 1–6 daily, dose 2

2021-01-23

Systemic reaction (other): Insomnia last night, then slept most of today

Release 9 — 6 months, dose 2

2021-07-23

Symptoms: I tested positive for COVID on July 8. Sore throat, cough, and nasal congestion began on July 6. Fever July 8-10, highest was 102.7. Nausea and vomitting July 9. Chills, sweating July 9 to 10 and conti ued with occasional sweating till July 17.

Release 11 — 12 months, dose 2

2022-01-24

Symptoms: I had COVID. Symptoms began on the evening of January 3. Tested positive on January 6.

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

FieldPreferred term2021-092023-042024-11
SDChills ✓ · ✓
SDCough ✓ · ✓
SDCOVID-19 · · ✓
SDHyperhidrosis ✓ · ✓
SDNasal congestion ✓ · ✓
SDNausea ✓ · ✓
SDOropharyngeal pain ✓ · ✓
SDPyrexia ✓ · ✓
SDSARS-CoV-2 test positive ✓ · ✓
SDVomiting ✓ · ✓
SROHypersomnia ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release