5R9-12058-98442
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-17
Survey response — day 14, dose 1MedDRA: Cough, Sinus headache — Feeling: FairFree text: Sinus headache and cough in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-05
Dose 3 — Moderna
- 2021-11-05
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Office visit, Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Was put on antibiotics and my arm was looked at today.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-11
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-12
- 2021-11-12
-
2021-11-15
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
-
2022-02-04
Survey response — 3 months, dose 3MedDRA: Exposure to SARS-CoV-2, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: Head cold first week in January, tested Negative to COVID after direct exposure from son who was positive 2 days after we were together. I believe the vaccine protected me!MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
-
2022-05-13
Dose 4 — Moderna
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal discomfort, Chills, Malaise — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Yesterday i didn't feel well all day and had chills on the night and upset stomach. Today I feel good.MedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-19
- 2022-06-26
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2022-08-12
Survey response — 3 months, dose 4MedDRA: COVID-19, Fatigue, Headache, Pain, Paranasal sinus discomfort, Pruritus, Pyrexia, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid positive after trip to Alaska6/30/2022 Headache,fever,sinus pressure, lots of sneezing, very tired, body aches itchy hair/ headMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Survey response — 6 months, dose 4MedDRA: Sinus disorder, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sinus issues · Healthcare visit (other): Scheduled apptMedDRA releases: 2024-11 · check-in free text available
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2022-11-11
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — day 14, dose 1
Symptoms: Sinus headache and cough in the morning
Release 10 — days 1–6 daily, dose 3
Healthcare visit (other): Was put on antibiotics and my arm was looked at today.
Release 11 — 3 months, dose 3
Symptoms: Head cold first week in January, tested Negative to COVID after direct exposure from son who was positive 2 days after we were together. I believe the vaccine protected me!
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday i didn't feel well all day and had chills on the night and upset stomach. Today I feel good.
Release 12 — 3 months, dose 4
Symptoms: Covid positive after trip to Alaska6/30/2022 Headache,fever,sinus pressure, lots of sneezing, very tired, body aches itchy hair/ head
Release 12 — 6 months, dose 4
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release