6ND-13285-86408
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 433 / OH
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Survey response — day 0, dose 2MedDRA: Limb discomfort — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Arms & legs feel heavy, its hard to move.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 35, dose 2MedDRA: Diarrhoea, Headache, Influenza, Muscle spasms, Nausea — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Some sort of flu bug: headache, diarrhea, nausea, cramping, easily winded, feeling off / just not myself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2022-04-01
Survey response — 12 months, dose 2MedDRA: COVID-19, Influenza virus test negative, Office visit, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I believe I had COVID in January, symptoms from Jan 15-Feb 20th or so. I had a drs. appointment on Jan 25, dr. said she was going to treat me for COVID as I was presenting with all symptoms they were seeing, however both COVID & Flu test were Neg. · Healthcare visit (other): In person Dr. Visit.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-01
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-04-05
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): Arms & legs feel heavy, its hard to move.
Release 8 — day 35, dose 2
Symptoms: Some sort of flu bug: headache, diarrhea, nausea, cramping, easily winded, feeling off / just not myself.
Release 11 — 12 months, dose 2
Symptoms: I believe I had COVID in January, symptoms from Jan 15-Feb 20th or so. I had a drs. appointment on Jan 25, dr. said she was going to treat me for COVID as I was presenting with all symptoms they were seeing, however both COVID & Flu test were Neg.
Healthcare visit (other): In person Dr. Visit.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release