62D-96071-31204
4 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 917 / CA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
-
2021-01-09
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Chest pain — Feeling: Fair · Site: PainFree text: Chest achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
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2021-01-19
Health check-in — day 7, dose 1Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-06
Dose 2 — Moderna
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2021-02-06
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: PainFree text: BruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 14, dose 2MedDRA: Muscular weakness, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Muscle weakness on right leg and left arm sorenessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-16
- 2021-09-01
-
2022-05-13
Dose 3 — Moderna
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2022-05-13
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Redness · Fatigue or tirednessAdult check-in
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2022-05-14
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-19
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Site: RednessFree text: CongestionMedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
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2022-06-10
Survey response — day 28, dose 3MedDRA: Headache — Feeling: FairFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
- 2022-06-17
- 2022-06-24
- 2022-08-14
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2022-10-20
Dose 4 — Moderna
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2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2022-05-13 | Moderna | No |
| 4 | 2022-10-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Chest aches
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Bruised
Release 4 — day 14, dose 2
Symptoms: Muscle weakness on right leg and left arm soreness
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Fever
Systemic reaction (other): Congestion
Release 12 — day 28, dose 3
Symptoms: Headache
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 | Headache | · | · | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release