CHM-92892-86503
2 vaccinations
9 coded responses
24 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 491 / MI
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
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2021-03-31
Dose 1 — Moderna
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2021-03-31
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Head discomfort, Sinus disorder, Throat irritation — Feeling: Fair · Headache, Nausea · Be unable to do your normal daily activitiesFree text: Head congestion, sinuses draining, scratchey throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Discharge, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Sinus disorder — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Congested, soar throat, sinus drainage, cough, phlegmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough, Paranasal sinus hypersecretion, Rhinorrhoea — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinuses draining, runny nose, throat, cough, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough, Oropharyngeal pain, Productive cough, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Sore throat, runny nose, stuffy head, cough, phlegm, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Cough, Productive cough, Respiratory tract congestion — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Cough, tightness in chest, head congestion, phlegm,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 7, dose 1MedDRA: Chest discomfort, Cough, Oropharyngeal pain, Paranasal sinus hypersecretion, Productive cough — Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: Cough, phlegm, sinus drainage, sore throat, tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
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2021-04-28
Dose 2 — Moderna
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Fatigue or tiredness, NauseaAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
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2021-10-28
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Vaginal haemorrhage — Feeling: GoodFree text: Having monthly spotting since the 2nd dose. I went thru menopause over 10 years ago. Didn't give it much thought, but it has become a regular monthly occurrence.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — 12 months, dose 2MedDRA: Postmenopausal haemorrhage, Uterine dilation and curettage — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: 10+ years post menopause, monthly period. · Healthcare visit (other): Pap, bloodwork negative. D&C (4/30/22) results pending.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-03
- 2022-05-04
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2022-05-04
Callback requested for12:00PM ET
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2022-05-10
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-30 | Successful 2022-05-10 |
Completed over the phone |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Head congestion, sinuses draining, scratchey throat
Systemic reaction (other): Congested, soar throat, sinus drainage, cough, phlegm
Systemic reaction (other): Sinuses draining, runny nose, throat, cough, tightness in chest
Systemic reaction (other): Sore throat, runny nose, stuffy head, cough, phlegm, tightness in chest
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Cough, tightness in chest, head congestion, phlegm,
Release 7 — day 7, dose 1
Systemic reaction (other): Cough, phlegm, sinus drainage, sore throat, tightness in chest
Release 10 — 6 months, dose 2
Symptoms: Having monthly spotting since the 2nd dose. I went thru menopause over 10 years ago. Didn't give it much thought, but it has become a regular monthly occurrence.
Release 11 — 12 months, dose 2
Symptoms: 10+ years post menopause, monthly period.
Healthcare visit (other): Pap, bloodwork negative. D&C (4/30/22) results pending.
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 |
|---|---|---|---|---|
| HCVO | Uterine dilation and curettage | · | · | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vaginal haemorrhage | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Discharge | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release