CPP-16367-49026
3 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 335 / FL
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-11
- 2021-04-12
- 2021-04-15
- 2021-04-20
- 2021-04-28
-
2021-05-04
Dose 2 — Moderna
-
2021-05-04
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Its been 3hMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ear painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Ear pain is getting betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-20
- 2021-05-25
- 2021-06-03
- 2021-06-08
-
2021-08-03
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: PoorFree text: Runny nose, cough, tiredMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-21
Dose 3 — Moderna
-
2022-05-24
Survey response — 6 months, dose 3MedDRA: Amenorrhoea, Weight increased — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: No period since injection of the booster in November 2021, and weight gain 1-2 lbs per weekMedDRA releases: 2024-11 · check-in free text available
-
2022-05-24
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-05-25
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-21
Survey response — 12 months, dose 3MedDRA: Amenorrhoea, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: Never had a period cycle since booster received in November 2021. PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-11-21
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2022-11-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-21 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 8 — day 0, dose 2
Systemic reaction (other): Its been 3h
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Ear pain
Systemic reaction (other): Ear pain is getting better
Release 9 — 3 months, dose 2
Symptoms: Runny nose, cough, tired
Release 11 — 6 months, dose 3
Symptoms: No period since injection of the booster in November 2021, and weight gain 1-2 lbs per week
Release 12 — 12 months, dose 3
Symptoms: Never had a period cycle since booster received in November 2021. Pregnancy
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 | Amenorrhoea | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | Weight increased | · | · | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release