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5FC-19798-97109

3 vaccinations 4 coded responses 39 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
622 / IL
Registered
2021-01-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-27
    Registered in v-safe
  3. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  7. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Erythema, Pruritus, Swelling — Feeling: Good
    Free text: 8 days after my shot I got a large circle that was red and swollen. It did not hurt just itched . It is fading now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Dose 2 — Moderna
  13. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Nausea, Pain, Pyrexia, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Day after injection I had fever, chills, nausea, vomiting, aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-27
    Survey response — 6 months, dose 2
    MedDRA: Cardiac disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: A heart malfunction in one of the upper lobes of my heart. One of the blood pressure meds that I had been taking for years was masking the symptoms. · Healthcare visit (other): A visit to an electrophysiologis
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-08-27
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2021-09-02
    Call successful
    Does not wish to fill out VAERS report
  29. 2021-10-27
    Dose 3 — Moderna
  30. 2021-10-27
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Muscle or body aches
    Adult check-in
  33. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  34. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Itching · None
    Adult check-in
  35. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-26
    Survey response — 3 months, dose 3
    MedDRA: Cough, Fatigue, Nasal congestion, SARS-CoV-2 test positive, Sneezing — Feeling: Fair · Be unable to work or attend school
    Free text: Tested positive for omicron. Stuffy nose, slight cough, a lot of sneezing, no fever, tired
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-04-27
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  45. 2022-10-27
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-26Moderna
32021-10-27Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 3 — day 14, dose 1

2021-02-09

Symptoms: 8 days after my shot I got a large circle that was red and swollen. It did not hurt just itched . It is fading now.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Day after injection I had fever, chills, nausea, vomiting, aches

Release 9 — 6 months, dose 2

2021-08-27

Symptoms: A heart malfunction in one of the upper lobes of my heart. One of the blood pressure meds that I had been taking for years was masking the symptoms.
Healthcare visit (other): A visit to an electrophysiologis

Release 11 — 3 months, dose 3

2022-01-26

Symptoms: Tested positive for omicron. Stuffy nose, slight cough, a lot of sneezing, no fever, 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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDCardiac disorder ✓ · ✓
SDCough · · ✓
SDErythema ✓ ✓ ✓
SDFatigue · · ✓
SDNasal congestion · · ✓
SDPruritus ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SDSneezing · · ✓
SDSwelling ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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

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