5SV-41547-35007
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 030 / NH
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
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2021-04-13
Dose 1 — Moderna
- 2021-04-13
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-19
- 2021-04-20
-
2021-04-27
Survey response — day 14, dose 1MedDRA: Nausea — Feeling: GoodFree text: Occasionally I'll get a stong wave of nausea. Maybe once a day but it only lasts for a few seconds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 21, dose 1MedDRA: Fatigue, Somnolence — Feeling: GoodFree text: Fatigue, feeling sleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Dose 2 — Moderna
- 2021-05-11
- 2021-05-11
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-25
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2021-06-01
Survey response — day 21, dose 2MedDRA: Arthralgia, Myalgia, Pain — Feeling: GoodFree text: Body aches- joint and muscle pain and stiffness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
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2021-06-15
Survey response — day 35, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Be unable to work or attend school, 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: Joint flare ups, ankles, wrist shoulder, hipsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Report sent to call center — day 35, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-06-23
- 2021-06-23
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2021-06-23
Call successfulParticipant prefers to complete VAERS report online
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2021-08-10
Survey response — 3 months, dose 2MedDRA: Office visit, Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to work or attend school, 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: Symptoms: I was diagnosed with rheumatoid arthritis after having several flare up which was not typical for me within the last 4 months. · Healthcare visit (other): Had to see a rheumatologist and got lots of blood work done.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Report sent to call center — 3 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 pr1 call case(s)
- 2021-08-17
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2021-08-17
Call successfulParticipant prefers to complete VAERS report online
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2021-11-09
Survey response — 6 months, dose 2MedDRA: Arrhythmia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Irregular heart rhythm.MedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — 6 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 prEmergency room or emergency department visit · 1 call case(s)
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2021-11-10
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 8 — day 14, dose 1
Symptoms: Occasionally I'll get a stong wave of nausea. Maybe once a day but it only lasts for a few seconds.
Release 8 — day 21, dose 1
Symptoms: Fatigue, feeling sleepy
Release 8 — day 21, dose 2
Symptoms: Body aches- joint and muscle pain and stiffness.
Release 9 — day 35, dose 2
Symptoms: Joint flare ups, ankles, wrist shoulder, hips
Release 9 — 3 months, dose 2
Symptoms: I was diagnosed with rheumatoid arthritis after having several flare up which was not typical for me within the last 4 months.
Healthcare visit (other): Had to see a rheumatologist and got lots of blood work done.
Release 10 — 6 months, dose 2
Symptoms: Irregular heart rhythm.
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 | ✓ | · | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release