64K-25441-02835
3 vaccinations
9 coded responses
33 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 114 / NY
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-28
- 2021-01-29
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tummy upsrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
-
2021-02-20
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-28
-
2021-04-03
Survey response — day 42, dose 2MedDRA: Fatigue, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Today very tired. Feel like coming down with coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Emergency care, Gout, Pain in extremity, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Left foot swollen and very painful. Went up ER. Told it was gout. Never had this before. Given meds. Got better after about three weeks.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-21
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)
- 2021-10-11
-
2021-10-11
Call successfulCompleted over the phone
-
2021-10-29
Dose 3 — Moderna
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Tired for one dayMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
-
2021-11-05
Survey response — day 7, dose 3MedDRA: Sneezing — Feeling: GoodFree text: Sneezing often. Since yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 35, dose 3MedDRA: Arthralgia, Pain in extremity — Feeling: FairFree text: Painful feet. Top of feet. Pain in one kneeMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tested positive for COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Survey response — 6 months, dose 3MedDRA: Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-01
Survey response — 12 months, dose 3MedDRA: Nasopharyngitis, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cold like symptoms. Tested positive on rapid test fir COVID about two weeks ago Lasted about seven days. Then tested negative twice.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 14, dose 1
Symptoms: Tummy upsr
Release 6 — day 42, dose 2
Symptoms: Today very tired. Feel like coming down with cold
Release 9 — 6 months, dose 2
Symptoms: Left foot swollen and very painful. Went up ER. Told it was gout. Never had this before. Given meds. Got better after about three weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tired for one day
Release 10 — day 7, dose 3
Systemic reaction (other): Sneezing often. Since yesterday.
Release 10 — day 35, dose 3
Symptoms: Painful feet. Top of feet. Pain in one knee
Release 11 — 3 months, dose 3
Symptoms: Tested positive for COVID
Release 11 — 6 months, dose 3
Symptoms: Sore throat.
Release 12 — 12 months, dose 3
Symptoms: Cold like symptoms. Tested positive on rapid test fir COVID about two weeks ago Lasted about seven days. Then tested negative twice.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gout | ✓ | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | · | ✓ |
| SD | Peripheral swelling | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release