67E-72155-26953
4 vaccinations
10 coded responses
50 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 200 / DC
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Muscle or body achesFree text: The first day my armpit on the shot arm was soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very sore where I got the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Still have swollen armpit glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-23
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a migraine yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — day 14, dose 2MedDRA: Malaise, Office visit, Otitis media — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Middle ear infection- went to Dr and got antibiotics but still feel poorly · Healthcare visit (other): Went to Dr. officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-09
-
2021-03-16
Survey response — day 28, dose 2MedDRA: Deafness unilateral, Ear infection, Office visit, Tympanic membrane perforation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: My eardrum burst from my ear infection- the infection is gone but I have very limited hewring out of my left ear. If it doesnt heal Ill need an operatiom · Healthcare visit (other): I went to the Dr, officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-16
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Survey response — day 0, dose 3MedDRA: Migraine — Feeling: Fair · HeadacheFree text: Had a migraine before getting the shotMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Swelling in left armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-03
- 2021-12-15
- 2022-01-20
-
2022-01-28
Survey response — 3 months, dose 3MedDRA: Tympanoplasty — Feeling: Good · Be unable to do your normal daily activitiesFree text: I jad an operation to repair my eardrumMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
-
2022-05-06
Dose 4 — Moderna
- 2022-05-06
-
2022-05-07
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-08
- 2022-05-09
- 2022-05-13
- 2022-05-20
- 2022-05-28
- 2022-06-03
- 2022-06-11
- 2022-06-17
- 2022-08-05
- 2022-11-04
-
2023-05-06
Survey response — 12 months, dose 4MedDRA: COVID-19, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-05-06
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2023-05-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2023-05-08
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): The first day my armpit on the shot arm was sore
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Very sore where I got the vaccine
Systemic reaction (other): Still have swollen armpit glands
Release 4 — day 7, dose 2
Systemic reaction (other): Had a migraine yesterday
Release 4 — day 14, dose 2
Symptoms: Middle ear infection- went to Dr and got antibiotics but still feel poorly
Healthcare visit (other): Went to Dr. office
Release 5 — day 28, dose 2
Symptoms: My eardrum burst from my ear infection- the infection is gone but I have very limited hewring out of my left ear. If it doesnt heal Ill need an operatiom
Healthcare visit (other): I went to the Dr, office
Release 10 — day 0, dose 3
Systemic reaction (other): Had a migraine before getting the shot
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling in left armpit
Release 11 — 3 months, dose 3
Symptoms: I jad an operation to repair my eardrum
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 | ✓ | ✓ | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Deafness unilateral | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Otitis media | ✓ | ✓ | ✓ |
| SD | Tympanic membrane perforation | ✓ | ✓ | ✓ |
| SD | Tympanoplasty | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release