6L5-21860-58353
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-14
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-23
-
2021-01-28
Survey response — day 21, dose 1MedDRA: Migraine, Pre-existing disease, Rheumatoid arthritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraine today, increased joint pain from rheumatoid arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Dose 2 — Moderna
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-12
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-18
- 2021-02-26
- 2021-03-04
- 2021-03-11
- 2021-03-20
- 2021-05-06
- 2021-08-05
-
2021-10-10
Dose 3 — ModernaCo-administered: yes
- 2021-10-25
- 2021-10-31
-
2021-11-07
Survey response — day 28, dose 3MedDRA: Nasopharyngitis, Sinusitis — 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 · Outpatient clinic or urgent care clinic visitFree text: Caught a cold and subsequent sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Report sent to call center — day 28, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-11-14
- 2021-11-23
- 2022-01-09
-
2022-04-10
Survey response — 6 months, dose 3MedDRA: Delivery, Pneumonia — 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, HospitalizationFree text: Had a baby, also pneumoniaMedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
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 · Hospitalization · 1 call case(s)
- 2022-04-11
- 2022-04-14
- 2022-10-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-10 | Moderna | Yes |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-13 | priority 2/3 | |
| 2021-11-07 | Successful 2021-11-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-04-10 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Migraine today, increased joint pain from rheumatoid arthritis.
Release 10 — day 28, dose 3
Symptoms: Caught a cold and subsequent sinus infection
Release 11 — 6 months, dose 3
Symptoms: Had a baby, also pneumonia
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 | Delivery | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rheumatoid arthritis | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release