5TX-29902-43904
3 vaccinations
5 coded responses
33 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 554 / MN
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
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2021-02-19
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site warmth — Feeling: FairFree text: I have a rash on the injection site- left arm. It is about 5 inches long and 3 inches wide. The area is hot to touch and it is very itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-21
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 35, dose 2MedDRA: Cough, Dysphonia, Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: Cold symptoms. Runny nose, horse voice, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-06-04
- 2021-09-03
-
2021-12-29
Dose 3 — ModernaCo-administered: Flu:Tetanus
-
2021-12-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-31
-
2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Pregnancy — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: I am 29 weeks pregnant. I doubt the fatigue is related to the booster shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-05
- 2022-01-12
- 2022-01-21
- 2022-01-26
- 2022-02-02
-
2022-02-09
Survey response — day 42, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Fair · 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: Fever, cough, sore throat, nasal congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-09
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
- 2022-03-30
- 2022-03-31
-
2022-06-29
Survey response — 6 months, dose 3MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: I had covidMedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-06-30
Call successfulParticipant prefers to complete VAERS report online
- 2022-12-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-12-29 | Moderna | Flu:Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-09 | Successful | Participant prefers to complete VAERS report online |
| 2022-06-29 | Successful 2022-06-30 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 14, dose 1
Symptoms: I have a rash on the injection site- left arm. It is about 5 inches long and 3 inches wide. The area is hot to touch and it is very itchy.
Release 7 — day 35, dose 2
Symptoms: Cold symptoms. Runny nose, horse voice, cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I am 29 weeks pregnant. I doubt the fatigue is related to the booster shot.
Release 11 — day 42, dose 3
Symptoms: Fever, cough, sore throat, nasal congestion
Release 12 — 6 months, dose 3
Symptoms: I had covid
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 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release