9UG-42430-85378
4 vaccinations
4 coded responses
54 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 303 / GA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
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2020-12-30
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Onset of the headache was about 30 minutes after the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
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2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Muscle or body achesFree text: Injection was in my left arm. Woke up with muscle soreness isolated to my left armpit. Did not do any strenuous activity that would have cause this soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-07
Survey response — day 7, dose 1MedDRA: Axillary pain, Injection site swelling — Feeling: Good · Muscle or body achesFree text: Pain localized in my left armpit still present but gradually dissipating. Felt a bump where the injection was given but not painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-20
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
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2021-04-27
Survey response — 3 months, dose 2MedDRA: Abdominal pain, Abdominal pain upper, Emergency care — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Mild abdominal pain in right upper quadrant. Went to ED and had it evaluated. Likely gallbladder related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-27
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2021-12-30
Call successfulDoes not wish to fill out VAERS report
- 2022-01-28
- 2022-04-29
- 2022-10-29
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2022-11-26
Dose 4 — Moderna
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2022-11-26
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-11-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-28
- 2022-11-29
- 2022-11-30
- 2022-12-01
- 2022-12-02
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2022-12-31
- 2023-01-07
- 2023-02-27
- 2023-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-11-26 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Onset of the headache was about 30 minutes after the injection.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Injection was in my left arm. Woke up with muscle soreness isolated to my left armpit. Did not do any strenuous activity that would have cause this soreness.
Release 1 — day 7, dose 1
Systemic reaction (other): Pain localized in my left armpit still present but gradually dissipating. Felt a bump where the injection was given but not painful.
Release 8 — 3 months, dose 2
Symptoms: Mild abdominal pain in right upper quadrant. Went to ED and had it evaluated. Likely gallbladder related.
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 | Abdominal pain | ✓ | ✓ | ○ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ○ | ○ | ○ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release