62N-33118-67022
4 vaccinations
5 coded responses
39 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 109 / NY
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site warmth — Feeling: GoodFree text: I feel good, but developed a rash at injection site on day 8. Hot slightly itchy. Lasted about 5 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-14
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Inflammation, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Body aches, felt inflamedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-05-07
-
2021-08-06
Survey response — 6 months, dose 2MedDRA: Inflammation, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: 3weeks after 2nd shot, inflammation lower body. Same as in the past when recovering from having shingles. Had blood work when the inflammation came back after my vaccine. Everything was negative. Did test positive for antibodies at that time. 3/5/21 · Healthcare visit (other): Visit to primary care physicianMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Had fever 101F headache and body aches Friday night through Saturday nightMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-20
- 2021-11-26
- 2021-12-05
- 2022-01-21
- 2022-04-24
-
2022-09-14
Dose 4 — Moderna
- 2022-10-20
- 2022-10-26
- 2022-12-14
-
2023-03-15
Survey response — 6 months, dose 4MedDRA: Ageusia, Anosmia, COVID-19, Nasal congestion, Oropharyngeal pain, 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-15
Report sent to call center — 6 months, dose 4Be 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)
- 2023-03-16
- 2023-03-16
-
2023-03-16
Call successfulParticipant prefers to complete VAERS report online
-
2023-03-16
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-09-14 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 2 — day 14, dose 1
Symptoms: I feel good, but developed a rash at injection site on day 8. Hot slightly itchy. Lasted about 5 days
Release 4 — day 21, dose 2
Symptoms: Body aches, felt inflamed
Release 9 — 6 months, dose 2
Symptoms: 3weeks after 2nd shot, inflammation lower body. Same as in the past when recovering from having shingles. Had blood work when the inflammation came back after my vaccine. Everything was negative. Did test positive for antibodies at that time. 3/5/21 cut off by CDC
Healthcare visit (other): Visit to primary care physician
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Had fever 101F headache and body aches Friday night through Saturday night
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 | ✓ | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release