66Z-25725-86309
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 017 / MA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2020-12-24
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, NauseaAdult check-in
- 2020-12-26
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion — Feeling: FairFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, SARS-CoV-2 test negative — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Nasal congestion · Healthcare visit (other): Covid test - negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-28
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2020-12-29
- 2020-12-30
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Pain, Respiratory tract congestion — Feeling: FairFree text: Body aches/slight congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
-
2021-01-13
Survey response — day 21, dose 1MedDRA: Pain — Feeling: FairFree text: Body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-20
-
2021-01-22
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-14
- 2021-02-19
- 2021-02-28
- 2021-03-05
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2021-04-23
Survey response — 3 months, dose 2MedDRA: Concussion — Feeling: Good · Be unable to do your normal daily activitiesFree text: ConcussionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-23
Survey response — 6 months, dose 2MedDRA: COVID-19 — Feeling: Poor · 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 consultationFree text: CovidMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-23
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2020-12-24 | Unsuccessful | |
| 2020-12-28 | Unsuccessful | |
| 2021-07-23 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Nasal congestion
Systemic reaction (other): Nasal congestion
Healthcare visit (other): Covid test - negative
Release 1 — day 14, dose 1
Symptoms: Body aches/slight congestion
Release 1 — day 21, dose 1
Symptoms: Body aches
Release 7 — 3 months, dose 2
Symptoms: Concussion
Release 9 — 6 months, dose 2
Symptoms: Covid
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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Concussion | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release