5L7-25104-88346
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 208 / MD
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-13
- 2021-03-14
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — day 7, dose 2MedDRA: Arthralgia, Muscle tightness, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Headache, Muscle or body achesFree text: Pain is in my shoulders and neck. Very tight and stiff.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — day 14, dose 2MedDRA: Cough, Myalgia — Feeling: GoodFree text: Underlying cough for the past 7 days. Also some muscle aches in my shoulder/neck area about 1 week ago, that lasted 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — day 21, dose 2MedDRA: Cough, Dyspnoea, Hypertension, SARS-CoV-2 test — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Since last check-in, developed an underlying light cough; have difficulty catching breath at times. High blood pressure. · Healthcare visit (other): Took a COVID-19 test yesterday, awaiting resultsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-05
- 2021-05-12
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Chest discomfort, Dyspnoea — Feeling: GoodFree text: Still having shortness of breath occasionally. Cant figure out what the trigger is, not sure what causes it. Also feels like my chest tightens sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-07
- 2021-10-06
-
2021-12-16
Dose 3 — Moderna
- 2022-04-10
-
2022-04-12
Call successfulParticipant prefers to complete VAERS report online
- 2022-06-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Pain is in my shoulders and neck. Very tight and stiff.
Release 7 — day 14, dose 2
Symptoms: Underlying cough for the past 7 days. Also some muscle aches in my shoulder/neck area about 1 week ago, that lasted 2 days.
Release 8 — day 21, dose 2
Symptoms: Since last check-in, developed an underlying light cough; have difficulty catching breath at times. High blood pressure.
Healthcare visit (other): Took a COVID-19 test yesterday, awaiting results
Release 8 — day 42, dose 2
Symptoms: Still having shortness of breath occasionally. Cant figure out what the trigger is, not sure what causes it. Also feels like my chest tightens sometimes
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 | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Muscle tightness | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release