7SF-84971-62892
3 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 631 / MO
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Dose 1 — Moderna
-
2021-04-14
Dose 2 — Moderna
-
2021-04-17
Registered in v-safe
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Influenza, Migraine — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: This is day three of a continuous migraine no meds have helped. Directly after 24 hours after shot I had stomach flu symptoms for about 24+ hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain — Feeling: Poor · Chills, Headache, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Specific joint pain of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-13
- 2021-05-20
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-30
Dose 3 — Moderna
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-08
- 2021-11-13
- 2021-11-22
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2021-11-27
Survey response — day 28, dose 3MedDRA: Chest pain, Dizziness, Faeces discoloured, Migraine, Nausea, Unevaluable event — Feeling: Poor · 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: Currently chest pain on and off, migraine that won't go away, dizziness, nausea, and black stool. I don't believe any of these relate to the booster but they exist · Healthcare visit (other): Plan to go to urgent careMedDRA releases: 2024-11 · check-in free text available
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2021-11-27
Report sent to call center — day 28, dose 3Be 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)
- 2021-11-30
- 2021-12-04
- 2021-12-11
- 2022-01-29
- 2022-04-30
-
2022-10-30
Survey response — 12 months, dose 3MedDRA: Streptococcal infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Recovering from strep nowMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-27 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): This is day three of a continuous migraine no meds have helped. Directly after 24 hours after shot I had stomach flu symptoms for about 24+ hours.
Systemic reaction (other): Specific joint pain of my neck.
Release 10 — day 28, dose 3
Symptoms: Currently chest pain on and off, migraine that won't go away, dizziness, nausea, and black stool. I don't believe any of these relate to the booster but they exist
Healthcare visit (other): Plan to go to urgent care
Release 12 — 12 months, dose 3
Symptoms: Recovering from strep now
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 | Unevaluable event | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Faeces discoloured | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Streptococcal infection | · | · | ✓ |
| SRO | Influenza | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release