5NK-18685-22996
5 vaccinations
9 coded responses
48 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 295 / SC
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Dose 1 — Moderna
-
2021-03-07
Registered in v-safe
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Malaise, Pyrexia, Rhinorrhoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Low grade fever, sniffles, malaiseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
-
2021-04-09
Survey response — day 7, dose 2MedDRA: Rhinorrhoea, Sinus disorder — Feeling: GoodFree text: sinus and snifflesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
-
2021-04-30
Survey response — day 28, dose 2MedDRA: Fatigue, Pleurisy, Pre-existing disease — 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 consultationFree text: extreme fatigue and pleurisy since Tuesday 4 days but I have lupus and got caught out in the sun for an hour Tues by mistake so probably a lupus flare.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-07
Survey response — day 35, dose 2MedDRA: Butterfly rash, Condition aggravated, Fatigue, Migraine, Office visit, Pleurisy, Pre-existing disease, Unevaluable event — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: lupus flare most likely due to accidental sun exposure, butterfly rash, extreme fatigue, pleurisy, migraines. Got monthly infusion fir Benlysta and was treates for flare with added methylprednisolone by IV, 150 mg during infusion at my rheum office. · Healthcare visit (other): infusion methylprednisoloneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
-
2021-07-02
Survey response — 3 months, dose 2MedDRA: Pneumonia, Pre-existing disease, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: pneumonia, but negative COVID PCR test on a batch test from CVS pharmacy. I got tested because I am on immune suppressors including Benlysta monoclonal antibody infusions monthly (B-cell depleters) and methylprednisolone, both for lupus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-07-07
Call successfulDoes not wish to fill out VAERS report
-
2021-07-07
Call successfulDoes not wish to fill out VAERS report
-
2021-07-07
Call successfulDoes not wish to fill out VAERS report
-
2021-08-16
Dose 3 — Moderna
- 2021-10-01
- 2021-11-15
- 2022-02-14
-
2022-05-16
Dose 4 — Moderna
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
-
2022-06-20
Survey response — day 35, dose 4MedDRA: Cough, Diarrhoea, Heart rate decreased, Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: cough. low pulse, low fever, vomiting diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-06-27
- 2022-08-15
-
2022-09-21
Dose 5 — ModernaCo-administered: Flu
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-23
Survey response — days 1–6 daily, dose 5MedDRA: Cough — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: cough moderateMedDRA releases: 2024-11 · check-in free text available
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-20
- 2022-10-26
- 2022-11-02
-
2022-12-23
Survey response — 3 months, dose 5MedDRA: Cough, Headache, Influenza virus test negative, Medical counselling, Office visit, Oxygen saturation decreased, Respiratory tract congestion, SARS-CoV-2 test negative, Self-medication — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: severe cough, severe congestion, low pulse oxygen (92), headaches, negative rapid tests for COVID and flu at the Urgent Care. Could not get script for cough medicine filled due to national shortage. Pharmacist helped me find Mucinex DM, Allegra D.MedDRA releases: 2024-11 · check-in free text available
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2022-12-23
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-27
-
2022-12-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-03-22
Survey response — 6 months, dose 5MedDRA: Blood pressure decreased, Bronchitis, Cough, Dizziness, Fatigue, Immunodeficiency, Nausea, Respiratory tract infection, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2023-03-23
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-09-21 | Moderna | Flu |
Call center
5 call center cases
5 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Low grade fever, sniffles, malaise
Release 7 — day 7, dose 2
Systemic reaction (other): sinus and sniffles
Release 8 — day 28, dose 2
Symptoms: extreme fatigue and pleurisy since Tuesday 4 days but I have lupus and got caught out in the sun for an hour Tues by mistake so probably a lupus flare.
Release 8 — day 35, dose 2
Symptoms: lupus flare most likely due to accidental sun exposure, butterfly rash, extreme fatigue, pleurisy, migraines. Got monthly infusion fir Benlysta and was treates for flare with added methylprednisolone by IV, 150 mg during infusion at my rheum office. cut off by CDC
Healthcare visit (other): infusion methylprednisolone
Release 9 — 3 months, dose 2
Symptoms: pneumonia, but negative COVID PCR test on a batch test from CVS pharmacy. I got tested because I am on immune suppressors including Benlysta monoclonal antibody infusions monthly (B-cell depleters) and methylprednisolone, both for lupus.
Release 12 — day 35, dose 4
Symptoms: cough. low pulse, low fever, vomiting diarrhea
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): cough moderate
Release 12 — 3 months, dose 5
Symptoms: severe cough, severe congestion, low pulse oxygen (92), headaches, negative rapid tests for COVID and flu at the Urgent Care. Could not get script for cough medicine filled due to national shortage. Pharmacist helped me find Mucinex DM, Allegra D.
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 | Blood pressure decreased | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Butterfly rash | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Immunodeficiency | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Pleurisy | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release