5GN-30927-48215
4 vaccinations
5 coded responses
37 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 100 / NY
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
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2021-04-16
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Mild headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
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 do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-06
- 2021-06-11
- 2021-07-30
- 2021-10-31
-
2021-11-20
Dose 3 — Moderna
-
2022-09-17
Dose 4 — Moderna
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2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-09-21
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2022-09-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-09-23
- 2022-09-24
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2022-10-01
Survey response — day 14, dose 4MedDRA: Back pain, Intervertebral disc protrusion, Medical counselling — Feeling: Good · Be unable to work or attend schoolFree text: Since my booster on September 17, I have experienced varying levels of back pain in an area where I have disc bulging and herniation.It came "out of the blue" the day after my booster.My Dr informed me this could have been triggered by the booster.MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — day 21, dose 4MedDRA: Tremor — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still experiencing tremors and shaking episodes. Just had one actually. It lasted about 15 minutes. I'd like someone to contact me so I can give a better description.MedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Survey response — day 28, dose 4MedDRA: Back pain, Inflammation, Muscle twitching, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I'm still experiencing a back flare-up with pain, inflammation and muscle twitching. · Healthcare visit (other): Several physiatrist and physical therapist appts. Next I will see a neurologist.MedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Report sent to call center — day 28, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2022-10-18
Call successfulCompleted over the phone
- 2022-10-29
- 2022-12-19
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2023-03-19
Survey response — 6 months, dose 4MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-19
Report sent to call center — 6 months, dose 4Be 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)
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-09-17 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 7 — day 14, dose 1
Symptoms: Mild headaches
Release 12 — day 14, dose 4
Symptoms: Since my booster on September 17, I have experienced varying levels of back pain in an area where I have disc bulging and herniation.It came "out of the blue" the day after my booster.My Dr informed me this could have been triggered by the booster. cut off by CDC
Release 12 — day 21, dose 4
Symptoms: Still experiencing tremors and shaking episodes. Just had one actually. It lasted about 15 minutes. I'd like someone to contact me so I can give a better description.
Release 12 — day 28, dose 4
Symptoms: I'm still experiencing a back flare-up with pain, inflammation and muscle twitching.
Healthcare visit (other): Several physiatrist and physical therapist appts. Next I will see a neurologist.
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 | Back pain | · | · | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Intervertebral disc protrusion | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Muscle twitching | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release