5Q6-32510-72361
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 245 / VA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-20
Registered in v-safe
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-24
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: No proof that diarrhea was from vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 7, dose 1MedDRA: Urticaria — Feeling: GoodFree text: I got several hives on my abdomen today. But I also petted a dog wearing a Seresto flea collar, and got two strong (new) chemicals on my hands today. So these hives may be totally unrelated to my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Hypersomnia, Somnolence — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Felt very tired in afternoon, after getting vaccine in the morning. Took a two-hour nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain — Feeling: Fair · Site: Pain · Muscle or body achesFree text: I did major strenuous yardwork yesterday so my back and hip are hurting a lot today but I feel like this has absolutely NO relationship to my Covid vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Emergency care, Feeling abnormal, Pharyngeal swelling, Pruritus, Rash pruritic, Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: On Dec. 13, 2021, about 10 days after my 3rd COVID Moderna vaccine booster, got a horrible itchy rash/hives for much of the time, for about 5 days. I was extremely miserable with itching over much of my body. Went to ER one night with throat swellingMedDRA releases: 2024-11 · check-in free text available
-
2022-04-15
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-04-19
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): No proof that diarrhea was from vaccine.
Release 6 — day 7, dose 1
Systemic reaction (other): I got several hives on my abdomen today. But I also petted a dog wearing a Seresto flea collar, and got two strong (new) chemicals on my hands today. So these hives may be totally unrelated to my vaccine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Felt very tired in afternoon, after getting vaccine in the morning. Took a two-hour nap.
Systemic reaction (other): I did major strenuous yardwork yesterday so my back and hip are hurting a lot today but I feel like this has absolutely NO relationship to my Covid vaccine.
Release 11 — 12 months, dose 2
Symptoms: On Dec. 13, 2021, about 10 days after my 3rd COVID Moderna vaccine booster, got a horrible itchy rash/hives for much of the time, for about 5 days. I was extremely miserable with itching over much of my body. Went to ER one night with throat swelling cut off by CDC
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 | Emergency care | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ○ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release