6HX-32210-37370
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 977 / OR
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
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2021-03-18
Registered in v-safe
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2021-03-18
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Abdominal pain · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2021-03-18
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-23
Survey response — day 14, dose 1MedDRA: Pruritus — Feeling: FairFree text: Really itchy armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — day 21, dose 1MedDRA: Hypoaesthesia — Feeling: FairFree text: Arm numbnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 28, dose 1MedDRA: Dysaesthesia, Pain — Feeling: FairFree text: Still have a numb kind of painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Dose 2 — Moderna
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2021-04-13
Health check-in — day 0, dose 2Feeling: Poor · Site: Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2021-04-14
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Hard to breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain, Itching · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Survey response — day 14, dose 2MedDRA: Cough — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-12
- 2021-10-20
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2021-10-27
Dose 3 — Moderna
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2021-10-27
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-05
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-10
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2021-04-14 | Unsuccessful | |
| 2021-04-28 | Unsuccessful |
Free text
Release 6 — day 14, dose 1
Symptoms: Really itchy arm
Release 6 — day 21, dose 1
Symptoms: Arm numbness
Release 7 — day 28, dose 1
Symptoms: Still have a numb kind of pain
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Hard to breath
Systemic reaction (other): Shortness of breath
Release 8 — day 14, dose 2
Symptoms: Cough
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 | Dysaesthesia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release