83P-26738-71750
1 vaccination
5 coded responses
12 check-ins
5 free-text entries
10 call cases
- Sex
- Female
- Age at first dose
- 16-20
- ZIP prefix
- 550 / MN
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2020-12-26
Registered in v-safe
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2020-12-26
Dose 1 — Moderna
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2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2020-12-27
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2020-12-28
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesFree text: Feeling as if I have a really bad coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-29
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2020-12-30
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2020-12-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2020-12-31
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-01
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-02
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-02
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-09
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2021-01-16
Survey response — day 21, dose 1MedDRA: Abdominal pain, Chills, Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Minor headaches, abdominal pain, loose stools, chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-03-27
Survey response — 3 months, dose 1MedDRA: Neoplasm malignant — Feeling: Fair · Be unable to do your normal daily activitiesFree text: CancerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Survey response — 6 months, dose 1MedDRA: Neoplasm malignant — 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 · Emergency room or emergency department visit, HospitalizationFree text: CancerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Report sent to call center — 6 months, dose 1Be 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)
- 2021-07-01
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2021-07-02
Call successfulCompleted over the phone
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2021-12-26
Survey response — 12 months, dose 1MedDRA: Arrhythmia, Asthma, Hospitalisation, Hypersensitivity, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Extreme asthma,heart arythmia and found out in allergic to moderna, was hospitalized for my second dose.MedDRA releases: 2024-11 · check-in free text available
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2021-12-26
Report sent to call center — 12 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2021-12-27
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2021-12-27
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna |
Call center
10 call center cases
2 successful · 8 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling as if I have a really bad cold
Release 2 — day 21, dose 1
Symptoms: Minor headaches, abdominal pain, loose stools, chills
Release 6 — 3 months, dose 1
Symptoms: Cancer
Release 9 — 6 months, dose 1
Symptoms: Cancer
Release 10 — 12 months, dose 1
Symptoms: Extreme asthma,heart arythmia and found out in allergic to moderna, was hospitalized for my second dose.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arrhythmia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Neoplasm malignant | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release