CVG-29319-63620
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 032 / NH
- Registered
- 2021-04-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-29
Dose 1 — Moderna
-
2021-04-30
Registered in v-safe
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2021-04-30
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, 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 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: From day 1: Focused sharp head pain with light and soundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Hyperacusis, Neurological symptom, Photophobia, Unevaluable event — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Neurological: head pain with sensitivity to lights and sounds · Healthcare visit (other): PC: Not yet scheduledMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-05-06
Survey response — day 7, dose 1MedDRA: Hyperacusis, Photophobia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Sensitivity to lights and soundsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 14, dose 1MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Missed menstrual cycle unknown if related to pregnancyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-20
Survey response — day 21, dose 1MedDRA: Acne, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Hormone related acne atypical for me. Continued previous symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
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2021-06-03
Survey response — day 35, dose 1MedDRA: Heavy menstrual bleeding — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dysmenorrhea. Missed menstrual cycle with heavy bleeding after.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-11
Dose 2 — Moderna
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2021-06-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-07-09
- 2021-12-29
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2022-01-04
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-29 | Moderna | |
| 2 | 2021-06-11 | Moderna |
Call center
4 call center cases
4 successful
1 wait over 3 months for a first call
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): From day 1: Focused sharp head pain with light and sound
Systemic reaction (other): Neurological: head pain with sensitivity to lights and sounds
Healthcare visit (other): PC: Not yet scheduled
Release 8 — day 7, dose 1
Systemic reaction (other): Sensitivity to lights and sounds
Release 8 — day 14, dose 1
Symptoms: Missed menstrual cycle unknown if related to pregnancy
Release 8 — day 21, dose 1
Symptoms: Hormone related acne atypical for me. Continued previous symptoms.
Release 8 — day 35, dose 1
Symptoms: Dysmenorrhea. Missed menstrual cycle with heavy bleeding after.
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Acne | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | ✓ | ✓ | ✓ |
| SRO | Neurological symptom | ○ | ✓ | ○ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release