6N8-33588-35605
3 vaccinations
12 coded responses
41 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-06
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Itching · HeadacheAdult check-in
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site urticaria, Pain in extremity — Feeling: GoodFree text: Redness, hives, swelling and itching around the injection site. Slight pain when the site was itched. Arm felt sore, like it did soon after receiving the shot. These symptoms were mild and only lasted about 3 or 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-27
-
2021-01-30
Dose 2 — Moderna
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Difficulty sleepingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Decreased appetite — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Lack of hunger, body temp consistently below 95F, lowest was 93.3F.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Feeling hot, Hyperhidrosis — Feeling: Good · Site: Pain, Itching · Chills, Rash, not including the immediate area around the injection siteFree text: Consistent low body temp. Never went above 95F yesterday and was at 92F, but I felt hot, sweaty and muggy throughout the day. Today my temperature mostly stayed below 96F and finally broke 97F in the evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-07
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-05-01
-
2021-07-31
Survey response — 6 months, dose 2MedDRA: Chills, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion, Sneezing — Feeling: GoodFree text: Congestion, chills, headache, sneezing, slight sore throat, slight cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-12-17
Dose 3 — Moderna
- 2021-12-17
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea, Increased upper airway secretion, Productive cough, Respiratory tract congestion, Secretion discharge — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Coughing up flem, congestion and difficulty breathing due to flem and mucus in throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Ear discomfort, Ear pain, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Fever · Fatigue or tiredness, Diarrhea · 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: Tested positive for Covid last night, have had additional symptoms of congestion, runny nose, cough, ear pain/pressure and a slight sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Report sent to call center — days 1–6 daily, 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)
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Ear discomfort, Ear pain, Respiratory tract congestion — Feeling: Poor · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion, cough, ear ache/pressureMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: COVID-19, Cough, Ear discomfort, Respiratory tract congestion, Tinnitus — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: Congestion, cough and ear pressure and ringing from being positive with covidMedDRA releases: 2024-11 · check-in free text available
- 2021-12-23
-
2021-12-23
Call successfulDoes not wish to fill out VAERS report
-
2021-12-24
Survey response — day 7, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: Congestion, cough.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Survey response — day 14, dose 3MedDRA: Miliaria — Feeling: Poor · 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: Full body heat rashMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — day 14, dose 3Be 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)
- 2022-01-04
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-03-18
- 2022-06-17
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 1 — day 14, dose 1
Symptoms: Redness, hives, swelling and itching around the injection site. Slight pain when the site was itched. Arm felt sore, like it did soon after receiving the shot. These symptoms were mild and only lasted about 3 or 4 days.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping
Systemic reaction (other): Lack of hunger, body temp consistently below 95F, lowest was 93.3F.
Systemic reaction (other): Consistent low body temp. Never went above 95F yesterday and was at 92F, but I felt hot, sweaty and muggy throughout the day. Today my temperature mostly stayed below 96F and finally broke 97F in the evening.
Release 9 — 6 months, dose 2
Symptoms: Congestion, chills, headache, sneezing, slight sore throat, slight cough.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cough
Systemic reaction (other): Coughing up flem, congestion and difficulty breathing due to flem and mucus in throat
Systemic reaction (other): Tested positive for Covid last night, have had additional symptoms of congestion, runny nose, cough, ear pain/pressure and a slight sore throat.
Systemic reaction (other): Congestion, cough, ear ache/pressure
Systemic reaction (other): Congestion, cough and ear pressure and ringing from being positive with covid
Release 10 — day 7, dose 3
Systemic reaction (other): Congestion, cough.
Release 10 — day 14, dose 3
Symptoms: Full body heat rash
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 | Cough | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Miliaria | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Body temperature decreased | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Ear discomfort | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Increased upper airway secretion | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Secretion discharge | · | · | ✓ |
| SRO | Tinnitus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release