67F-15530-74298
3 vaccinations
5 coded responses
16 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 231 / VA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Foggy, not myself, out of body almostMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — day 7, dose 1Feeling: Fair · Fever · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-27
- 2021-03-31
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2021-04-02
Dose 2 — Moderna
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Palpitations, Pyrexia — Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: After my vaccine I experienced a high fever of 103.6. The fever lasted for three days. It went down to 100 on the 3rd day. I had a hard time walking during my fever as my legs gave out. I felt off for days. Yesterday 5 days post dose I had a horrible headache with heart racing feelings. I feel more normal today but exhausted.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-18
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2021-04-23
Survey response — day 21, dose 2MedDRA: Breast feeding, Malaise — Feeling: FairFree text: I do feel off this week. Please update this form to include lactating women! Im breastfeeding -we need more dataMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-10
- 2021-05-14
- 2021-07-04
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2021-10-03
Survey response — 6 months, dose 2MedDRA: Menstruation irregular — 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 consultation, Emergency room or emergency department visitFree text: Massive periods each week ?!!?MedDRA releases: 2024-11 · check-in free text available
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2021-10-03
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 prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
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2021-10-06
Call successfulParticipant prefers to complete VAERS report online
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2021-10-28
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Bone pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Fever, bone painMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Foggy, not myself, out of body almost
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): After my vaccine I experienced a high fever of 103.6. The fever lasted for three days. It went down to 100 on the 3rd day. I had a hard time walking during my fever as my legs gave out. I felt off for days. Yesterday 5 days post dose I had a horrible headache with heart racing feelings. I feel more normal today but exhausted.
Release 7 — day 21, dose 2
Symptoms: I do feel off this week. Please update this form to include lactating women! Im breastfeeding -we need more data
Release 9 — 6 months, dose 2
Symptoms: Massive periods each week ?!!?
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fever, bone pain
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 | Breast feeding | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release