5GA-13265-12965
2 vaccinations
5 coded responses
22 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 551 / MN
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Thirst — Feeling: Poor · Chills, Fatigue or tiredness · 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: Excessive thirst and dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Thirst, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Systemic reaction (other): Dry mouth and excessive thirst · Healthcare visit (other): Blood draw and analysisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: Large rash on arm where injection was given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-05-03
Dose 2 — Moderna
- 2021-05-03
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2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
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2021-06-14
Survey response — day 42, dose 2MedDRA: Lethargy, Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Lethargic, swollen lymph nodes, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-14
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
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2021-06-17
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-02
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2021-11-01
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Miscarried on 9/11/21MedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-03
Call successfulDoes not wish to fill out VAERS report
- 2022-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-05-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-25 | Successful 2021-06-17 |
Participant prefers to complete VAERS report online |
| 2021-03-27 | Successful 2021-06-17 |
Participant prefers to complete VAERS report online |
| 2021-06-14 | Successful 2021-06-17 |
Participant prefers to complete VAERS report online |
| 2021-11-01 | Successful 2021-11-03 |
Does not wish to fill out VAERS report |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Excessive thirst and dry mouth
Systemic reaction (other): Dry mouth and excessive thirst
Healthcare visit (other): Blood draw and analysis
Release 6 — day 14, dose 1
Symptoms: Large rash on arm where injection was given.
Release 9 — day 42, dose 2
Symptoms: Lethargic, swollen lymph nodes, sore throat
Release 10 — 6 months, dose 2
Symptoms: Miscarried on 9/11/21
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release