9PE-22162-80264
4 vaccinations
6 coded responses
28 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 803 / CO
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
-
2021-02-22
Survey response — day 21, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-05-03
Survey response — 3 months, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: Tight chest, dry cough, runny nose. Possibly allergies? Resolved without treatment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-02
-
2021-11-09
Dose 3 — Moderna
- 2022-02-01
-
2022-10-06
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-07
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Good · Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-10
- 2022-10-11
- 2022-10-13
- 2022-10-20
- 2022-11-03
-
2022-11-10
Survey response — day 35, dose 4MedDRA: Unevaluable event — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Possible RSVMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Survey response — day 42, dose 4MedDRA: COVID-19, Cough, Fatigue, Nausea, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Covid. Fatigue, nausea, aches, coughMedDRA releases: 2024-11 · check-in free text available
-
2023-01-07
Survey response — 3 months, dose 4MedDRA: Fatigue, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
-
2023-04-07
Survey response — 6 months, dose 4MedDRA: Abortion spontaneous, Upper respiratory tract infection — 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 visitMedDRA releases: 2024-11
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2023-04-07
Report sent to call center — 6 months, dose 4Be 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)
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2023-04-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-10-06 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-07 | Successful 2023-04-10 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — day 21, dose 2
Symptoms: Fatigue
Release 8 — 3 months, dose 2
Symptoms: Tight chest, dry cough, runny nose. Possibly allergies? Resolved without treatment.
Release 12 — day 35, dose 4
Symptoms: Possible RSV
Release 12 — day 42, dose 4
Symptoms: Covid. Fatigue, nausea, aches, 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 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release