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
-
2021-08-22
Registered in v-safe
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2021-08-22
Dose 1 — Moderna
- 2021-08-22
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2021-08-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, NauseaAdult check-in
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2021-08-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-08-25
Survey response — days 1–6 daily, dose 1MedDRA: Muscle spasms, Paraesthesia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Muscle spasms and tinglingMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-26
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2021-08-27
Survey response — days 1–6 daily, dose 1MedDRA: Muscle twitching, Throat tightness — Feeling: Fair · Fatigue or tirednessFree text: Muscle twinging, the feeling of pressure in my throatMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-08-29
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2021-09-05
Survey response — day 14, dose 1MedDRA: 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 visitFree 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
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2021-09-05
Report sent to call center — day 14, 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)
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2021-09-10
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-12
- 2021-09-19
- 2021-09-28
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2021-11-25
Survey response — 3 months, dose 1MedDRA: 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 visitFree 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
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2021-11-25
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-01-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-22 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle spasms and tingling
Systemic reaction (other): Muscle twinging, the feeling of pressure in my throat
Release 9 — day 14, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | · | ✓ |
| SD | Emergency care | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Impaired work ability | ✓ | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SD | Syncope | · | · | ✓ |
| SD | Tachycardia | ✓ | · | ✓ |
| SRO | Muscle spasms | ✓ | · | ✓ |
| SRO | Muscle twitching | ✓ | · | ✓ |
| SRO | Paraesthesia | ✓ | · | ✓ |
| SRO | Throat tightness | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release