6YD-22230-24510
4 vaccinations
5 coded responses
52 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 314 / GA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
-
2021-02-16
Survey response — day 14, dose 1MedDRA: Erythema, Headache, Pruritus, Pyrexia — Feeling: GoodFree text: Developed red arm day 8. 3cm x 6 cm: itchy. Taking antihistamine-improving but still remains day 13. Not as itchy. Day 11 felt nauseous/low grade fever/headache. Lasted 24 hrs then fine since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Headache severe. Had to alternate tylenol and Motrin q3 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Poor · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Felt better yesterday-MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-06-03
Survey response — 3 months, dose 2MedDRA: Fall, Office visit, Pre-existing disease, Upper limb fracture — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Nothing to do with covid. Fall, fx elbow and also cataract surgery · Healthcare visit (other): As well as md visit d/t fallMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-02
-
2021-10-28
Dose 3 — Moderna
-
2021-10-28
Health check-in — day 0, dose 3Feeling: Good · Site: Itching · Fever · Headache, Muscle or body achesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Itching · Fever · Headache, Muscle or body aches, NauseaAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-18
-
2022-01-18
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-27
-
2022-10-17
Dose 4 — Moderna
- 2022-10-17
-
2022-10-18
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-20
-
2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2022-10-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2022-10-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-10-26
- 2022-10-31
- 2022-11-07
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2022-11-14
Survey response — day 28, dose 4MedDRA: Influenza, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cold/flu symptoms. Home covid test negativeMedDRA releases: 2024-11 · check-in free text available
- 2022-11-23
- 2022-11-28
- 2023-01-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-10-17 | Moderna | No |
Call center
1 call center case
1 successful
1 wait over 3 months for a first call
Free text
Release 4 — day 14, dose 1
Symptoms: Developed red arm day 8. 3cm x 6 cm: itchy. Taking antihistamine-improving but still remains day 13. Not as itchy. Day 11 felt nauseous/low grade fever/headache. Lasted 24 hrs then fine since.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache severe. Had to alternate tylenol and Motrin q3 hrs
Systemic reaction (other): Felt better yesterday-
Release 8 — 3 months, dose 2
Symptoms: Nothing to do with covid. Fall, fx elbow and also cataract surgery
Healthcare visit (other): As well as md visit d/t fall
Release 12 — day 28, dose 4
Symptoms: Cold/flu symptoms. Home covid test negative
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Upper limb fracture | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release