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99B-24762-19379

1 vaccination 4 coded responses 13 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
125 / NY
Registered
2021-08-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-22
    Registered in v-safe
  2. 2021-08-22
    Dose 1 — Moderna
  3. 2021-08-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-08-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Nausea
    Adult check-in
  5. 2021-08-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-08-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms, Paraesthesia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Muscle spasms and tingling
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-08-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2021-08-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle twitching, Throat tightness — Feeling: Fair · Fatigue or tiredness
    Free text: Muscle twinging, the feeling of pressure in my throat
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  10. 2021-08-29
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-09-05
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Emergency care, Headache, Impaired work ability, Self-medication, Tachycardia — 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
    Free text: My headache got worse with no relief from over the counter medication. I went to the emergency room on August 30th, I then had periods of tachycardia. They were unable to figure out why that was happening. I was very weak and unable to work.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-09-05
    Report sent to call center — day 14, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  13. 2021-09-10
    Call successful
    Participant prefers to complete VAERS report online
  14. 2021-09-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-09-19
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-09-28
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  17. 2021-11-25
    Survey response — 3 months, dose 1
    MedDRA: Emergency care, Hospitalisation, Syncope, Tachycardia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: I recently had a syncope episode had to go to the emergency room where I had a tachycardia event and was admitted to the hospital.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-11-25
    Report sent to call center — 3 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  19. 2022-01-13

Vaccinations

DoseDateManufacturerCo-administered
12021-08-22Moderna No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-25

Systemic reaction (other): Muscle spasms and tingling

2021-08-27

Systemic reaction (other): Muscle twinging, the feeling of pressure in my throat

Release 9 — day 14, dose 1

2021-09-05

Symptoms: My headache got worse with no relief from over the counter medication. I went to the emergency room on August 30th, I then had periods of tachycardia. They were unable to figure out why that was happening. I was very weak and unable to work.

Release 10 — 3 months, dose 1

2021-11-25

Symptoms: I recently had a syncope episode had to go to the emergency room where I had a tachycardia event and was admitted to the hospital.

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

FieldPreferred term2021-092023-042024-11
SDAsthenia ✓ · ✓
SDEmergency care ✓ · ✓
SDHeadache ✓ · ✓
SDHospitalisation · · ✓
SDImpaired work ability ✓ · ✓
SDSelf-medication ✓ · ✓
SDSyncope · · ✓
SDTachycardia ✓ · ✓
SROMuscle spasms ✓ · ✓
SROMuscle twitching ✓ · ✓
SROParaesthesia ✓ · ✓
SROThroat tightness ✓ · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release