6XZ-27620-54857
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 394 / MS
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
- 2020-12-22
-
2020-12-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2020-12-24
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
-
2021-01-05
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Influenza virus test negative, Office visit, Pain, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative — Feeling: Good · Be unable to work, 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: Thursday Dec 31 I ran fever high as 101.3 body aches severe fatigue same on Jan 1. Went to the doctor Jan 2 got tested for flu strep and Covid all negative. Sunday Jan 3 fatigue and headache. Some what better Jan 4 much better today Jan 5.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-12
- 2021-01-20
-
2021-01-22
Dose 2 — Moderna
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Chills, Pain, Pyrexia, Self-medication — Feeling: GoodFree text: On vaccination day that night Friday 1/22 I had.fever of 101.8 body aches chills. This lasted one night but I rotated Tylenol and ibuprofen every 4-6 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-02-04
Call successfulParticipant prefers to complete VAERS report online
- 2021-02-07
- 2021-02-12
- 2021-02-20
- 2021-02-27
- 2021-03-05
- 2021-04-23
- 2021-07-23
-
2022-01-22
Survey response — 12 months, dose 2MedDRA: COVID-19, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolFree text: Just had covid cold like symptomsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-22 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — day 14, dose 1
Symptoms: Thursday Dec 31 I ran fever high as 101.3 body aches severe fatigue same on Jan 1. Went to the doctor Jan 2 got tested for flu strep and Covid all negative. Sunday Jan 3 fatigue and headache. Some what better Jan 4 much better today Jan 5.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): On vaccination day that night Friday 1/22 I had.fever of 101.8 body aches chills. This lasted one night but I rotated Tylenol and ibuprofen every 4-6 hours
Release 11 — 12 months, dose 2
Symptoms: Just had covid cold like symptoms
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Streptococcus test negative | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release