B3D-86388-11358
4 vaccinations
11 coded responses
30 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 430 / OH
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
Y73-27643-99642
Child or adolescent in my care · Female · 2022-07-27
Timeline
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2021-04-13
Dose 1 — Moderna
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2021-04-21
Registered in v-safe
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2021-04-21
Survey response — day 7, dose 1MedDRA: Fatigue, Headache, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had headache, extreme fatique, and fever within 6-24 hours after the shot but haven't reported them at the timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-05-04
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2021-05-11
Dose 2 — Moderna
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-14
- 2021-05-15
- 2021-05-16
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2021-05-19
Survey response — day 7, dose 2MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: FairFree text: Cough and nasal congestion. Sore throat for the last 5 days. Got coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-01
- 2021-06-08
- 2021-06-22
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2021-08-12
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain, Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative, Secretion discharge — Feeling: Good · Be unable to do your normal daily activitiesFree text: Wet cough, sore throat, congestion. Got tested and the test for COVID was negative. Still have mucus after 2 weeks since it started.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-09
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2021-12-19
Dose 3 — Moderna
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2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Injection site swelling, Injection site warmth, Migraine, Myalgia, Pain, Pyrexia — Feeling: GoodFree text: I had fever, chills, pain, warmth and swelling at the injection site on the day of the booster as well as muscle pain, fatiqur and huge migraine the following day but didn't have time to complete check-ins on the day of and the following day.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
- 2021-12-26
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2022-01-04
Survey response — day 14, dose 3MedDRA: Cough, Medical counselling, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny nose, cough for everyone in the family. Tested our 2 year old and she was negative for Covid. Doctor said it is just a cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-09
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2022-01-18
Survey response — day 28, dose 3MedDRA: Respiratory tract congestion — Feeling: GoodFree text: congestedMedDRA releases: 2024-11 · check-in free text available
- 2022-01-23
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2022-02-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-03-20
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2022-06-19
Survey response — 6 months, dose 3MedDRA: Abortion spontaneous — Feeling: GoodFree text: Had a first trimester miscarriage 5/12/2022MedDRA releases: 2024-11 · check-in free text available
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2022-11-05
Dose 4 — Moderna
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2022-11-07
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: redness and swelling at the injection site is 5 inches in diameterMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Site: Itching · Headache · Be unable to work or attend schoolFree text: cough (I might have caught another virus in the process)MedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Site: ItchingFree text: nasal comgestion and sore throat from coldMedDRA releases: 2024-11 · check-in free text available
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2022-11-12
Survey response — day 7, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: GoodFree text: cough and congestion due to coldMedDRA releases: 2024-11 · check-in free text available
- 2022-11-21
- 2022-12-12
- 2023-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-12-19 | Moderna | No |
| 4 | 2022-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-21 | Successful 2022-02-25 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): I had headache, extreme fatique, and fever within 6-24 hours after the shot but haven't reported them at the time
Release 8 — day 7, dose 2
Systemic reaction (other): Cough and nasal congestion. Sore throat for the last 5 days. Got cold
Release 9 — 3 months, dose 2
Symptoms: Wet cough, sore throat, congestion. Got tested and the test for COVID was negative. Still have mucus after 2 weeks since it started.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had fever, chills, pain, warmth and swelling at the injection site on the day of the booster as well as muscle pain, fatiqur and huge migraine the following day but didn't have time to complete check-ins on the day of and the following day.
Release 10 — day 14, dose 3
Symptoms: Congestion, runny nose, cough for everyone in the family. Tested our 2 year old and she was negative for Covid. Doctor said it is just a cold.
Release 10 — day 28, dose 3
Symptoms: congested
Release 12 — 6 months, dose 3
Symptoms: Had a first trimester miscarriage 5/12/2022
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): redness and swelling at the injection site is 5 inches in diameter
Systemic reaction (other): cough (I might have caught another virus in the process)
Systemic reaction (other): nasal comgestion and sore throat from cold
Release 12 — day 7, dose 4
Systemic reaction (other): cough and congestion due to cold
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 | Medical counselling | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Productive cough | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Secretion discharge | ✓ | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release