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AS7-26141-68314

3 vaccinations 12 coded responses 38 check-ins 12 free-text entries 3 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
970 / OR
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-02
    Registered in v-safe
  2. 2021-02-02
    Dose 1 — Moderna
  3. 2021-02-02
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain
    Free text: Slight dizziness 5 minutes after the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Pain on the middle back around spine muscles.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills
    Adult check-in
  8. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-23
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-02
    Dose 2 — Moderna
  14. 2021-03-02
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  15. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain
    Free text: Dizzyness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-23
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-13
    Survey response — day 42, dose 2
    MedDRA: Back pain — Feeling: Fair
    Free text: Same upper back pain that I had with the first dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-06-01
    Survey response — 3 months, dose 2
    MedDRA: Anxiety — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Anxiety
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-01
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-08-31
    Survey response — 6 months, dose 2
    MedDRA: Dizziness, Feeling hot, Head discomfort, Intermenstrual bleeding, Menstrual disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: My head feels like it's bringing air overhead with a little pressure and a feeling of dizziness, and at the same time I feel hot air coming out of my ears. Irregularities in my menstrual cycle such as breakthrough bleeding and changes in the amount.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-08-31
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  31. 2021-09-02
    Call successful
    Completed over the phone
  32. 2021-12-07
    Dose 3 — Moderna
  33. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest pain, Dyspnoea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Intermitent Chest pain and short breath
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Back pain, Chest pain — Feeling: Good · Site: Pain
    Free text: Chest and back pain
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Nausea
    Adult check-in
  36. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache
    Adult check-in
  37. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-14
    Health check-in — day 7, dose 3
    Feeling: Fair · Chills, Headache
    Adult check-in
  39. 2021-12-22
    Survey response — day 14, dose 3
    MedDRA: Back pain — Feeling: Good
    Free text: Upper back pain
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-28
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-19
    Survey response — day 42, dose 3
    MedDRA: Ear disorder, Headache, Pulse abnormal — Feeling: Fair
    Free text: Headache (Headband type), ears like blowing cold air. Feeling my pulses on my temples.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-03-10
    Survey response — 3 months, dose 3
    MedDRA: Neurological symptom, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Post COVID neurological symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-06-07
    Survey response — 6 months, dose 3
    MedDRA: Menstruation irregular — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Irregular menstrual periods
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-06-07
    Report sent to call center — 6 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2022-06-08
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-02Moderna
32021-12-07Moderna No

Call center

3 call center cases

3 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 3 — day 0, dose 1

2021-02-02

Systemic reaction (other): Slight dizziness 5 minutes after the injection

Release 3 — days 1–6 daily, dose 1

2021-02-03

Systemic reaction (other): Pain on the middle back around spine muscles.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Dizzyness

Release 7 — day 42, dose 2

2021-04-13

Symptoms: Same upper back pain that I had with the first dose.

Release 8 — 3 months, dose 2

2021-06-01

Symptoms: Anxiety

Release 9 — 6 months, dose 2

2021-08-31

Symptoms: My head feels like it's bringing air overhead with a little pressure and a feeling of dizziness, and at the same time I feel hot air coming out of my ears. Irregularities in my menstrual cycle such as breakthrough bleeding and changes in the amount. cut off by CDC

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Intermitent Chest pain and short breath

2021-12-10

Systemic reaction (other): Chest and back pain

Release 10 — day 14, dose 3

2021-12-22

Symptoms: Upper back pain

Release 10 — day 42, dose 3

2022-01-19

Symptoms: Headache (Headband type), ears like blowing cold air. Feeling my pulses on my temples.

Release 11 — 3 months, dose 3

2022-03-10

Symptoms: Post COVID neurological symptoms.

Release 11 — 6 months, dose 3

2022-06-07

Symptoms: Irregular menstrual periods

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
SDAnxiety ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDDizziness ✓ · ✓
SDEar disorder · · ✓
SDFeeling hot ✓ · ✓
SDHead discomfort ✓ · ✓
SDHeadache · · ✓
SDIntermenstrual bleeding ✓ · ✓
SDMenstrual disorder ✓ · ✓
SDMenstruation irregular · · ✓
SDNeurological symptom · · ✓
SDPre-existing disease · · ✓
SDPulse abnormal · · ✓
SROBack pain ✓ ✓ ✓
SROChest pain · · ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea · · ✓

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

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