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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

  1. 2021-04-13
    Registered in v-safe
  2. 2021-04-13
    Dose 1 — Moderna
  3. 2021-04-13
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-04-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-27
    Survey response — day 14, dose 1
    MedDRA: Nausea — Feeling: Good
    Free 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
  12. 2021-05-04
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Somnolence — Feeling: Good
    Free text: Fatigue, feeling sleepy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-11
    Dose 2 — Moderna
  14. 2021-05-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-05-11
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work
    Adult check-in
  17. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  18. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  22. 2021-05-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-01
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Myalgia, Pain — Feeling: Good
    Free text: Body aches- joint and muscle pain and stiffness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free text: Joint flare ups, ankles, wrist shoulder, hips
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-15
    Report sent to call center — day 35, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  27. 2021-06-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-23
  29. 2021-06-23
    Call successful
    Participant prefers to complete VAERS report online
  30. 2021-08-10
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free 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
  31. 2021-08-10
    Report sent to call center — 3 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  32. 2021-08-17
  33. 2021-08-17
    Call successful
    Participant prefers to complete VAERS report online
  34. 2021-11-09
    Survey response — 6 months, dose 2
    MedDRA: 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 visit
    Free text: Irregular heart rhythm.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-09
    Report sent to call center — 6 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  36. 2021-11-10
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna
22021-05-11Moderna

Call center

3 call center cases

3 successful

See the call center timeline

Free text

Release 8 — day 14, dose 1

2021-04-27

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

2021-05-04

Symptoms: Fatigue, feeling sleepy

Release 8 — day 21, dose 2

2021-06-01

Symptoms: Body aches- joint and muscle pain and stiffness.

Release 9 — day 35, dose 2

2021-06-15

Symptoms: Joint flare ups, ankles, wrist shoulder, hips

Release 9 — 3 months, dose 2

2021-08-10

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

2021-11-09

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDArrhythmia · · ✓
SDArthralgia ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDRheumatoid arthritis ✓ · ✓
SDSomnolence ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release