69J-58601-34192
5 vaccinations
11 coded responses
69 check-ins
11 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 920 / CA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
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2021-02-05
Dose 1 — Moderna
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2021-02-05
Survey response — day 0, dose 1MedDRA: Injection site pain, Injection site warmth — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injection site is sore in muscle and hot to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
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2021-02-19
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: GoodFree text: I had a rash break out last Friday at the injection site. It was very itchy, swollen, and red. It took ~48 hours to resolve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
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2021-03-15
Dose 2 — Moderna
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2021-03-15
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-07
- 2021-04-12
- 2021-04-21
- 2021-04-26
- 2021-06-14
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2021-08-20
Dose 3 — Moderna
- 2021-08-20
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2021-08-21
Survey response — days 1–6 daily, dose 3MedDRA: Tachycardia — Feeling: Poor · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: TachycardiaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-21
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-22
Survey response — days 1–6 daily, dose 3MedDRA: Tachycardia — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: TachycardiaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Survey response — days 1–6 daily, dose 3MedDRA: Tachycardia — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work or attend schoolFree text: TachycardiaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-08-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Itching · Fever · Headache · Be unable to work or attend schoolAdult check-in
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2021-08-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-08-26
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2021-08-26
Call successfulParticipant prefers to complete VAERS report online
- 2021-08-27
- 2021-09-03
- 2021-09-10
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2021-09-17
Survey response — day 28, dose 3MedDRA: Cough, Malaise, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sick with sore throat and cough. Covid negative test 9/13. On antibiotics. Slow improvement.MedDRA releases: 2024-11 · check-in free text available
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2021-09-17
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-21
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2021-09-24
Survey response — day 35, dose 3MedDRA: Viral upper respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sick with another upper respiratory virus. Not covidMedDRA releases: 2024-11 · check-in free text available
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2021-09-24
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-09-27
- 2021-09-30
- 2021-10-03
- 2021-11-19
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2022-02-18
Survey response — 6 months, dose 3MedDRA: COVID-19, Gastrointestinal disorder — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visitFree text: Covid infection and post Covid GI symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Report sent to call center — 6 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-22
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2022-03-26
Dose 4 — Moderna
- 2022-03-26
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2022-03-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-03-28
- 2022-03-29
- 2022-03-30
- 2022-04-01
- 2022-04-04
- 2022-04-09
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2022-04-20
Survey response — day 21, dose 4MedDRA: Malaise, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I'm sick with a head cold. Covid antigen test negativeMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Survey response — day 28, dose 4MedDRA: Malaise, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sick with a head cold, 2 serial antigen tests negative for CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-07
- 2022-06-25
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2022-09-24
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test negative, Upper respiratory tract infection — 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: Currently sick with upper respiratory infection. Covid negative via antigen and pcrMedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
- 2022-09-27
- 2022-09-27
- 2022-09-27
- 2022-09-27
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2022-10-13
Dose 5 — Pfizer-BioNTech
- 2022-10-13
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
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2022-10-20
Health check-in — day 7, dose 5Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-29
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2023-01-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-08-20 | Moderna | No |
| 4 | 2022-03-26 | Moderna | No |
| 5 | 2022-10-13 | Pfizer-BioNTech | No |
Call center
5 call center cases
1 successful · 4 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Injection site is sore in muscle and hot to touch.
Release 4 — day 14, dose 1
Symptoms: I had a rash break out last Friday at the injection site. It was very itchy, swollen, and red. It took ~48 hours to resolve.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Tachycardia
Systemic reaction (other): Tachycardia
Systemic reaction (other): Tachycardia
Release 9 — day 28, dose 3
Symptoms: Sick with sore throat and cough. Covid negative test 9/13. On antibiotics. Slow improvement.
Release 9 — day 35, dose 3
Symptoms: Sick with another upper respiratory virus. Not covid
Release 11 — 6 months, dose 3
Symptoms: Covid infection and post Covid GI symptoms
Release 11 — day 21, dose 4
Symptoms: I'm sick with a head cold. Covid antigen test negative
Release 11 — day 28, dose 4
Symptoms: Sick with a head cold, 2 serial antigen tests negative for Covid
Release 12 — 6 months, dose 4
Symptoms: Currently sick with upper respiratory infection. Covid negative via antigen and pcr
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release