8GN-14452-94075
4 vaccinations
7 coded responses
26 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 860 / AZ
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-21
Registered in v-safe
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I had a reaction to the bandaid. That has not happened before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Chills — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: *after completing the form yesterday I felt chills. Today is much better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
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2021-02-03
Survey response — day 14, dose 1MedDRA: Dizziness, Feeling abnormal — Feeling: GoodFree text: Dizzy, foggy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
- 2021-02-24
- 2021-03-05
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-21
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2021-08-18
Survey response — 6 months, dose 2MedDRA: Insomnia, Oropharyngeal pain — Feeling: FairFree text: Sore throat; sleeplessnessMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-16
Dose 3 — ModernaCo-administered: Flu
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2022-02-17
Survey response — 12 months, dose 2MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): Regular appointmentsMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-23
Call successfulDoes not wish to fill out VAERS report
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2022-10-04
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-10-08
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Please note I have a 5mos old; these symptoms could very well be because of lack of sleep.MedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-10-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
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2022-10-25
Survey response — day 21, dose 4MedDRA: Cough, Headache, Productive cough, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Running nose, heachaches, congestion, dry and wet coughMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-11-10
- 2022-11-15
- 2023-01-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-11-16 | Moderna | Flu |
| 4 | 2022-10-04 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had a reaction to the bandaid. That has not happened before.
Systemic reaction (other): *after completing the form yesterday I felt chills. Today is much better.
Release 3 — day 14, dose 1
Symptoms: Dizzy, foggy.
Release 9 — 6 months, dose 2
Symptoms: Sore throat; sleeplessness
Release 11 — 12 months, dose 2
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Please note I have a 5mos old; these symptoms could very well be because of lack of sleep.
Release 12 — day 21, dose 4
Symptoms: Running nose, heachaches, congestion, dry and wet cough
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 | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Insomnia | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release