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5GJ-12684-18606

2 vaccinations 5 coded responses 25 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
152 / PA
Registered
2021-03-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Registered in v-safe
  2. 2021-03-17
    Dose 1 — Moderna
  3. 2021-03-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  5. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Musculoskeletal stiffness, Pain, Pre-existing disease — Feeling: Good · Site: Pain
    Free text: Pain/stiffness lessened throughout the day. Also, want to let you know for records that I have autoimmune disease - Hashimotos Disease in thyroid should you be tracking responses in people like me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-24
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-03-31
    Survey response — day 14, dose 1
    MedDRA: Headache — Feeling: Good
    Free text: I have been getting these strange passing headaches. Its like there is a very brief mild pain that passes across the temple to the top of the head and then its over (no more than 10-15 seconds). This occurs 1-2xs a day since shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-14
    Dose 2 — Moderna
  14. 2021-04-14
    Survey response — day 0, dose 2
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: For about an or two after the shot, I had tinnitus
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  19. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-28
    Survey response — day 14, dose 2
    MedDRA: Arthralgia — Feeling: Fair
    Free text: Joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-05-12
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-04-16
    Survey response — 12 months, dose 2
    MedDRA: Menstrual disorder, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Having gynocological issues. Abnormal bleeding.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-04-16
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-04-21
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Pain/stiffness lessened throughout the day. Also, want to let you know for records that I have autoimmune disease - Hashimotos Disease in thyroid should you be tracking responses in people like me.

Release 6 — day 14, dose 1

2021-03-31

Symptoms: I have been getting these strange passing headaches. Its like there is a very brief mild pain that passes across the temple to the top of the head and then its over (no more than 10-15 seconds). This occurs 1-2xs a day since shot.

Release 7 — day 0, dose 2

2021-04-14

Systemic reaction (other): For about an or two after the shot, I had tinnitus

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Joint pain

Release 11 — 12 months, dose 2

2022-04-16

Symptoms: Having gynocological issues. Abnormal bleeding.

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
SDArthralgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMenstrual disorder · · ✓
SDVaginal haemorrhage · · ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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