5U3-32227-05781
3 vaccinations
9 coded responses
31 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 423 / KY
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Normal temperature for me is 97.3MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Rash between left ear and cheek shot on left sideMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-07
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-14
Survey response — day 14, dose 2MedDRA: Immediate post-injection reaction, Rash — Feeling: GoodFree text: Rash appeared on right side of face between ear and cheek anout 10 days after second vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 21, dose 2MedDRA: Rash — Feeling: GoodFree text: New rashes 1 on right neck. 6 on right arm. What does this mean?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
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2021-05-12
Survey response — day 42, dose 2MedDRA: Rash — Feeling: GoodFree text: New - rash on lower left armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Pop-up rashes continue mainly on face, neck, and armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-29
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2021-10-24
Dose 3 — Moderna
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Chills, Dizziness, Pyrexia — Feeling: Good · Site: Pain, Redness, Itching · Be unable to do your normal daily activitiesFree text: Monday I had chills fever, dizzy, weak. It was worse than the second shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Dizziness, Head discomfort, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headaches in the form of pressure on scalp and hair, light headedness,MedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-26
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2022-01-27
Call successfulCompleted over the phone
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2022-04-24
Survey response — 6 months, dose 3MedDRA: Head discomfort, Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Head pressure & pain. It has been much better since January.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-25
- 2022-04-28
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Normal temperature for me is 97.3
Systemic reaction (other): Rash between left ear and cheek shot on left side
Release 7 — day 14, dose 2
Symptoms: Rash appeared on right side of face between ear and cheek anout 10 days after second vaccine.
Release 7 — day 21, dose 2
Symptoms: New rashes 1 on right neck. 6 on right arm. What does this mean?
Release 8 — day 42, dose 2
Symptoms: New - rash on lower left arm
Release 9 — 3 months, dose 2
Symptoms: Pop-up rashes continue mainly on face, neck, and arms
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Monday I had chills fever, dizzy, weak. It was worse than the second shot.
Release 11 — 3 months, dose 3
Symptoms: Headaches in the form of pressure on scalp and hair, light headedness,
Release 11 — 6 months, dose 3
Symptoms: Head pressure & pain. It has been much better since January.
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 | Dizziness | · | · | ✓ |
| SD | Head discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release