BL9-66232-06891
2 vaccinations
3 coded responses
8 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 605 / IL
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-27
Dose 2 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Body temperature increased, Headache, Pain — Feeling: Good · Site: Pain, Redness, Swelling · Headache · Be unable to workFree text: The night I got the 2nd shot I had a 103.5 temp, severe headache, generalized aching & weaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-13
- 2021-03-03
- 2021-03-12
-
2021-04-28
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue for a weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-01-29
Survey response — 12 months, dose 2MedDRA: Bronchitis, Cough, Headache, Oropharyngeal pain — 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 visitFree text: Sore throat, cough, headache, bronchitisMedDRA releases: 2024-11 · check-in free text available
-
2022-01-29
Report sent to call center — 12 months, dose 2Be 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)
-
2022-03-24
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The night I got the 2nd shot I had a 103.5 temp, severe headache, generalized aching & weakness
Release 8 — 3 months, dose 2
Symptoms: Fatigue for a week
Release 11 — 12 months, dose 2
Symptoms: Sore throat, cough, headache, bronchitis
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 | Bronchitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release