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6WS-29829-61322

1 vaccination 5 coded responses 11 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
959 / CA
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-20
    Registered in v-safe
  2. 2021-03-20
    Dose 1 — Moderna
  3. 2021-03-20
    Survey response — day 0, dose 1
    MedDRA: Pre-existing disease, Therapeutic response unexpected — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: It was my 2nd vaccination. I am immune suppressed and have RA. My RA pain symptoms lessened after both vaccine doses.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good · Site: Pain
    Free text: I swear, the RA pain was less the day after shot. A little more today. I would like to know whats in it as it reduced RA pain. Today was good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-10
    Survey response — day 21, dose 1
    MedDRA: Constipation, Fatigue, Headache, Nausea, Neck pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, bad constipation, feeling like throwing up, neck and head hurt,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-09-18
    Survey response — 6 months, dose 1
    MedDRA: Pre-existing disease, Rash pruritic — Feeling: Good
    Free text: Lyme disease I had a couple years ago. The itchy rash came back. Thats all.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-03-20
    Survey response — 12 months, dose 1
    MedDRA: Fatigue, Nasopharyngitis, SARS-CoV-2 test, SARS-CoV-2 test negative, Sensation of foreign body — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: About a week after my booster I got extremely fatigued and it felt like I had a cactus in my throat. Covid test negative. I wondered if the test might have been reading the antibodies in vaccine. Followed with extreme cold like symptoms for weeks. · Healthcare visit (other): COVID testing
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-03-20
    Report sent to call center — 12 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2022-03-22
  16. 2022-03-23
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-20

Systemic reaction (other): It was my 2nd vaccination. I am immune suppressed and have RA. My RA pain symptoms lessened after both vaccine doses.

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): I swear, the RA pain was less the day after shot. A little more today. I would like to know whats in it as it reduced RA pain. Today was good.

Release 7 — day 21, dose 1

2021-04-10

Symptoms: Fatigue, bad constipation, feeling like throwing up, neck and head hurt,

Release 9 — 6 months, dose 1

2021-09-18

Symptoms: Lyme disease I had a couple years ago. The itchy rash came back. Thats all.

Release 11 — 12 months, dose 1

2022-03-20

Symptoms: About a week after my booster I got extremely fatigued and it felt like I had a cactus in my throat. Covid test negative. I wondered if the test might have been reading the antibodies in vaccine. Followed with extreme cold like symptoms for weeks.
Healthcare visit (other): COVID testing

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

FieldPreferred term2021-092023-042024-11
HCVOSARS-CoV-2 test · · ✓
SDConstipation ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDNausea ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRash pruritic · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSensation of foreign body · · ✓
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release