6BK-22624-09968
5 vaccinations
8 coded responses
55 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose, yesterday (24 - 36 hours out). Less today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Rhinorrhoea — Feeling: GoodFree text: I felt chill 24 hours after the shot which subsided after a day. My nose was very runny like a cold but cleared up very quickly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
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2021-02-17
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Abdominal tenderness, Pre-existing disease, Pyrexia — Feeling: FairFree text: Yesterday, Abdominal pain In lower left with low grade fever. Possibly a diverticulitis flair up. No Fever today But tenderness in low stomach.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Dose 2 — Moderna
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2021-02-24
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Abdominal painAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-27
-
2021-11-05
Dose 3 — Moderna
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
-
2021-12-03
Survey response — day 28, dose 3MedDRA: Dysphonia, Nasopharyngitis, Paranasal sinus discomfort, Rhinorrhoea, Throat irritation — Feeling: FairFree text: Cold symptoms: runny nose, scratchy throat, sinus pressure, hoarsenessMedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
- 2021-12-17
- 2022-02-04
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2022-04-14
Dose 4 — Moderna
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
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2022-04-28
Survey response — day 14, dose 4MedDRA: Pain — Feeling: FairFree text: Body aches possibly muscle fatigue but longer than usualMedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
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2022-05-12
Survey response — day 28, dose 4MedDRA: COVID-19, Cough, Diarrhoea, Headache, Respiratory tract congestion, Rhinorrhoea — Feeling: Poor · Be unable to work or attend schoolFree text: Positive for COVID-19 May 4 Symptomatic: runny nose, cough, congestion, headache, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-07-14
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2022-10-13
Survey response — 6 months, dose 4MedDRA: Cough, Oropharyngeal pain, Respiratory symptom, Rhinorrhoea — Feeling: FairFree text: Respiratory symptoms cough, runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Dose 5 — Moderna
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2022-11-10
Survey response — day 7, dose 5MedDRA: Burning mouth syndrome, Food aversion — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Starting around 10/04/2022 I began to experience Burning Mouth Syndrome. This is beginning to subside as I am avoiding acidic and spicy foods.MedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Report sent to call center — day 7, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-11
Call successfulParticipant prefers to complete VAERS report online
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2023-01-30
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
| 5 | 2022-10-31 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose, yesterday (24 - 36 hours out). Less today.
Systemic reaction (other): I felt chill 24 hours after the shot which subsided after a day. My nose was very runny like a cold but cleared up very quickly.
Release 4 — day 21, dose 1
Symptoms: Yesterday, Abdominal pain In lower left with low grade fever. Possibly a diverticulitis flair up. No Fever today But tenderness in low stomach.
Release 10 — day 28, dose 3
Symptoms: Cold symptoms: runny nose, scratchy throat, sinus pressure, hoarseness
Release 11 — day 14, dose 4
Symptoms: Body aches possibly muscle fatigue but longer than usual
Release 11 — day 28, dose 4
Symptoms: Positive for COVID-19 May 4 Symptomatic: runny nose, cough, congestion, headache, diarrhea
Release 12 — 6 months, dose 4
Symptoms: Respiratory symptoms cough, runny nose, sore throat
Release 12 — day 7, dose 5
Systemic reaction (other): Starting around 10/04/2022 I began to experience Burning Mouth Syndrome. This is beginning to subside as I am avoiding acidic and spicy foods.
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Abdominal tenderness | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Burning mouth syndrome | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Food aversion | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release