678-17409-34645
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 598 / MT
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
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2021-03-12
Survey response — day 21, dose 1MedDRA: Pregnancy — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pregnancy related complications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-03-19
Dose 2 — Moderna
- 2021-03-19
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-22
- 2021-03-23
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2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
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2021-09-17
Survey response — 6 months, dose 2MedDRA: Ear disorder, Vertigo, Visual impairment — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ear issues, virdigo issues and eye sight issues.MedDRA releases: 2024-11 · check-in free text available
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2022-03-19
Survey response — 12 months, dose 2MedDRA: Muscle disorder, Office visit, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Since getting the booster shot I've experienced hives every day and have had to take medication daily. I also had an episode where my muscle function was not working properly and had to go to the dr.MedDRA releases: 2024-11 · check-in free text available
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2022-03-19
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-12 | priority 2/3 | |
| 2022-03-19 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 4 — day 7, dose 1
Systemic reaction (other): Sore throat
Release 5 — day 21, dose 1
Symptoms: Pregnancy related complications.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Release 9 — 6 months, dose 2
Symptoms: Ear issues, virdigo issues and eye sight issues.
Release 11 — 12 months, dose 2
Symptoms: Since getting the booster shot I've experienced hives every day and have had to take medication daily. I also had an episode where my muscle function was not working properly and had to go to the dr.
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 disorder | · | · | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release