7WQ-17702-17629
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 633 / MO
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
-
2021-04-08
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-15
-
2021-04-22
Survey response — day 14, dose 1MedDRA: Back pain, Neck pain — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Debilitating neck and upper back pain on the side where I received the shot. It varies from day to day on intensity and duration.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
-
2021-05-07
Dose 2 — Moderna
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
- 2021-05-12
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-06-11
- 2021-06-18
-
2021-08-06
Survey response — 3 months, dose 2MedDRA: Blood pressure decreased, Dizziness, Gastrooesophageal reflux disease — 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 professional · Outpatient clinic or urgent care clinic visitFree text: Severe GERD, dizziness, low blood pressureMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Report sent to call center — 3 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)
-
2021-11-09
Dose 3 — ModernaCo-administered: Flu
- 2021-11-18
-
2022-05-12
Survey response — 6 months, dose 3MedDRA: Nerve compression — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pinched nerve in injection site armMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-13
-
2022-11-09
Survey response — 12 months, dose 3MedDRA: High risk pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: High Risk pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-10
- 2022-11-11
- 2022-11-11
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-09 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-06 | Unsuccessful | |
| 2022-05-12 | Unsuccessful | |
| 2022-11-09 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Debilitating neck and upper back pain on the side where I received the shot. It varies from day to day on intensity and duration.
Release 9 — 3 months, dose 2
Symptoms: Severe GERD, dizziness, low blood pressure
Release 11 — 6 months, dose 3
Symptoms: Pinched nerve in injection site arm
Release 12 — 12 months, dose 3
Symptoms: High Risk pregnancy
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Blood pressure decreased | ✓ | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | · | ✓ |
| SD | High risk pregnancy | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Nerve compression | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release