66L-18219-79175
3 vaccinations
2 coded responses
36 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-05
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Chills, Fatigue, Headache, Pain in extremity, Pyrexia — Feeling: Good · Muscle or body achesFree text: The Vaers system contacted me today 3 days after I got my booster and today (3 days after a full autoimmune-dose I feel fine today, but i had a sore arm the first 3 days, and the first 2 days also had fever, chills, headache, joint pain and fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-29
- 2021-11-01
- 2021-11-06
- 2021-11-14
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-10-23
Survey response — 12 months, dose 3MedDRA: Ear pain, Malaise, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to work or attend schoolFree text: Sore throat and ear ache on one side, fever for a couple days, congestion, malaise for a couple days, then felt better but had congestion for several more days.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The Vaers system contacted me today 3 days after I got my booster and today (3 days after a full autoimmune-dose I feel fine today, but i had a sore arm the first 3 days, and the first 2 days also had fever, chills, headache, joint pain and fatigue. cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: Sore throat and ear ache on one side, fever for a couple days, congestion, malaise for a couple days, then felt better but had congestion for several more days.
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 | Ear pain | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release