6DU-29871-24234
4 vaccinations
7 coded responses
22 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 946 / CA
- Registered
- 2021-05-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-04
Dose 1 — Moderna
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2021-05-03
Registered in v-safe
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2021-05-03
Dose 2 — Moderna
- 2021-05-03
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-06
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: I have had a worsening of somewhat chronic low back pai. Ever since the second injection. I mistakenly checked none on the second day afterwards, because I felt so much better than the day before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-08-02
- 2021-11-03
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2021-12-02
Dose 3 — Moderna
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2022-04-22
Dose 4 — Moderna
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2022-05-01
Survey response — day 7, dose 4MedDRA: Pre-existing disease — Feeling: Good · Muscle or body achesFree text: Just chronic back painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
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2022-06-03
Survey response — day 42, dose 4MedDRA: Oropharyngeal pain, Respiratory symptom, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: FairFree text: Mild runny nose for a couple days with feeling of head congestion, very mild sore throat. Total about five days mild URI symptoms, or fine for a couple days. I had thought I might have been exposed to COVID and checked frequently , negMedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Survey response — 3 months, dose 4MedDRA: COVID-19, Chills, Diarrhoea, Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea, Unevaluable event — Feeling: Fair · 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: COVIDsore throat, headache, fatigue, rhinorrhea, some a Chinese, and early on loose stools and chills.MedDRA releases: 2024-11 · check-in free text available
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2022-07-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-07-25
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2022-07-25
Call successfulParticipant prefers to complete VAERS report online
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2022-10-23
Survey response — 6 months, dose 4MedDRA: Fatigue, Headache, Injection site pain, Injection site swelling, Myalgia — Feeling: FairFree text: Headache, fatigue, injection site swelling and tenderness, muscle soreness following omicron COVID booster 3 days ago. Mostly the day after the booster, mild now. I'll answer the last question with reference to the previous booster.MedDRA releases: 2024-11 · check-in free text available
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2023-04-22
Survey response — 12 months, dose 4MedDRA: Fatigue, Headache, Oropharyngeal pain, Respiratory symptom, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-04 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): I have had a worsening of somewhat chronic low back pai. Ever since the second injection. I mistakenly checked none on the second day afterwards, because I felt so much better than the day before.
Release 11 — day 7, dose 4
Systemic reaction (other): Just chronic back pain
Release 11 — day 42, dose 4
Symptoms: Mild runny nose for a couple days with feeling of head congestion, very mild sore throat. Total about five days mild URI symptoms, or fine for a couple days. I had thought I might have been exposed to COVID and checked frequently , neg
Release 12 — 3 months, dose 4
Symptoms: COVIDsore throat, headache, fatigue, rhinorrhea, some a Chinese, and early on loose stools and chills.
Release 12 — 6 months, dose 4
Symptoms: Headache, fatigue, injection site swelling and tenderness, muscle soreness following omicron COVID booster 3 days ago. Mostly the day after the booster, mild now. I'll answer the last question with reference to the previous booster.
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 | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release