88R-19009-61384
3 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- —
- Age at first dose
- 26-30
- ZIP prefix
- 932 / CA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
-
2021-01-12
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-01-13
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-04
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2022-01-04
Dose 3 — ModernaCo-administered: Flu
-
2022-01-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2022-01-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2022-01-09
- 2022-01-10
- 2022-01-18
- 2022-01-27
-
2022-02-01
Survey response — day 28, dose 3MedDRA: Cough, Malaise, Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend schoolFree text: Sick, sore throat body aches and slight cough with feversMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Survey response — day 35, dose 3MedDRA: COVID-19, Cough, Oropharyngeal pain — 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 · Outpatient clinic or urgent care clinic visitFree text: Got covid, throat hurts and cough is persistentMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-11
- 2022-02-15
- 2022-04-05
-
2022-07-07
Survey response — 6 months, dose 3MedDRA: Arrhythmia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: More frequent arrhythmiaMedDRA releases: 2024-11 · check-in free text available
-
2022-07-07
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-08
Call successfulParticipant prefers to complete VAERS report online
- 2023-01-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2022-01-04 | Moderna | Flu |
Call center
2 call center cases
2 successful
Free text
Release 11 — day 28, dose 3
Symptoms: Sick, sore throat body aches and slight cough with fevers
Release 11 — day 35, dose 3
Symptoms: Got covid, throat hurts and cough is persistent
Release 12 — 6 months, dose 3
Symptoms: More frequent arrhythmia
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 | Arrhythmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release