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5T8-18174-20451

2 vaccinations 4 coded responses 8 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
666 / KS
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-16
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — day 7, dose 1
    MedDRA: Dizziness — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-02
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Bone pain, Chills, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: I had chills on 02-25 & fever on 02-27. Since I got the vaccine on 02-16, Ive had body aches and, most concerning, a pain in my right hip bone. Not the joint but the bone itself. Its finally healing and I can move today with minimal pa · Healthcare visit (other): I went to CVS and got a COVID-19 test.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-18
    Dose 2 — Moderna
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-03
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea, Fatigue, Headache — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: On the 30th I had a horrible headache and extreme fatigue. I slept almost all day. I had diarrhea that night. Neither my daily routine nor my eating pattern had not differed from the usual. On the 31st I got up, felt fine and went to work.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-23
    Survey response — day 35, dose 2
    MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: My COVID hip was hurting me. I never had pain in my hip until I received the first shot. Its not the joint; its the actual hip bone, the llium.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2022-01-22
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-16Moderna
22021-03-18Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): Dizziness

Release 4 — day 14, dose 1

2021-03-02

Symptoms: I had chills on 02-25 & fever on 02-27. Since I got the vaccine on 02-16, Ive had body aches and, most concerning, a pain in my right hip bone. Not the joint but the bone itself. Its finally healing and I can move today with minimal pa
Healthcare visit (other): I went to CVS and got a COVID-19 test.

Release 6 — day 14, dose 2

2021-04-03

Symptoms: On the 30th I had a horrible headache and extreme fatigue. I slept almost all day. I had diarrhea that night. Neither my daily routine nor my eating pattern had not differed from the usual. On the 31st I got up, felt fine and went to work.

Release 7 — day 35, dose 2

2021-04-23

Symptoms: My COVID hip was hurting me. I never had pain in my hip until I received the first shot. Its not the joint; its the actual hip bone, the llium.

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
HCVOSARS-CoV-2 test ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDBone pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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