5TF-13237-13079
4 vaccinations
7 coded responses
35 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
-
2021-02-03
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Slight Sore armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-08
- 2021-02-09
- 2021-02-12
- 2021-02-17
- 2021-02-24
-
2021-03-03
Survey response — day 28, dose 1MedDRA: Headache, Nausea, Pyrexia — Feeling: GoodFree text: Slight short instances of very light nauseaVery low grade temp at night one nightVery slight headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Dose 2 — Moderna
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: Metallic taste briefly in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-10
- 2021-04-15
- 2021-06-03
-
2021-09-04
Survey response — 6 months, dose 2MedDRA: Office visit, Unevaluable event, Vaginal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Possible diagnosis of Polycythemia Vera · Healthcare visit (other): Primary care visit about vaginal bleedingMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
-
2021-09-10
Call successfulDoes not wish to fill out VAERS report
-
2021-11-09
Dose 3 — Moderna
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Full blood count decreased, Neoplasm malignant, Radiotherapy, Transfusion — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Blood counts dropped to dangerous levels but I was also undergoing radiation treatments for cancer. · Healthcare visit (other): Transfusion at a hospital and weekly subsequent blood draws at cancer centerMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-09
-
2022-04-22
Dose 4 — Moderna
-
2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased, Headache, Immediate post-injection reaction, Pain in extremity — Feeling: GoodFree text: Immediately had a headache after the shot on the 22nd and next day had fever 99.2 and headach and pain and soreness in arm I received the shot in. All cleared up by Sunday the 24th.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
-
2022-05-06
Survey response — day 14, dose 4MedDRA: Diarrhoea, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Vomiting diarreaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-04
- 2022-07-22
- 2022-10-22
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Slight Sore arm
Release 5 — day 28, dose 1
Symptoms: Slight short instances of very light nauseaVery low grade temp at night one nightVery slight headache
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste briefly in mouth
Release 9 — 6 months, dose 2
Symptoms: Possible diagnosis of Polycythemia Vera
Healthcare visit (other): Primary care visit about vaginal bleeding
Release 11 — 12 months, dose 2
Symptoms: Blood counts dropped to dangerous levels but I was also undergoing radiation treatments for cancer.
Healthcare visit (other): Transfusion at a hospital and weekly subsequent blood draws at cancer center
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Immediately had a headache after the shot on the 22nd and next day had fever 99.2 and headach and pain and soreness in arm I received the shot in. All cleared up by Sunday the 24th.
Release 11 — day 14, dose 4
Symptoms: Vomiting diarrea
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 | Transfusion | · | · | ✓ |
| HCVO | Vaginal haemorrhage | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Full blood count decreased | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neoplasm malignant | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Radiotherapy | · | · | ✓ |
| SD | Unevaluable event | ✓ | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release