5PF-18186-69856
2 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
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2021-01-25
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Slight itchiness on my forehead. Maybe unrelated?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-27
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue could be unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
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2021-02-08
Survey response — day 14, dose 1MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: I have had a red hive develop on the front side of the arm that had the shot. It flares up and with hydrocortisone stops itching and goes away, to come back again two days later. It has done this on and off for 6 days now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-22
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2021-02-25
Dose 2 — Moderna
- 2021-02-25
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: A tapping in my left eardrum last night and this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Myalgia — Feeling: Fair · Headache, Fatigue or tirednessFree text: Could be unrelated, the headache or body aches I feel today, but felt similar to the day after the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-05
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Headache, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat and headache. Believed to be a cold. Had negative Covid test.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Exposure to SARS-CoV-2, Pain, Paraesthesia — Feeling: Poor · Be unable to work or attend school, 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: Lower body pain, potentially from spinal stenosis, but came on suddenly when our son contracted Covid. Also tingling in my legs and feet.MedDRA releases: 2024-11 · check-in free text available
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2022-02-25
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-01
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Slight itchiness on my forehead. Maybe unrelated?
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue could be unrelated
Release 3 — day 14, dose 1
Symptoms: I have had a red hive develop on the front side of the arm that had the shot. It flares up and with hydrocortisone stops itching and goes away, to come back again two days later. It has done this on and off for 6 days now.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): A tapping in my left eardrum last night and this morning.
Systemic reaction (other): Could be unrelated, the headache or body aches I feel today, but felt similar to the day after the vaccine
Release 9 — 6 months, dose 2
Symptoms: Sore throat and headache. Believed to be a cold. Had negative Covid test.
Release 11 — 12 months, dose 2
Symptoms: Lower body pain, potentially from spinal stenosis, but came on suddenly when our son contracted Covid. Also tingling in my legs and feet.
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 |
|---|---|---|---|---|
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release