CVJ-26097-23211
4 vaccinations
5 coded responses
38 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 436 / OH
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Survey response — day 35, dose 2MedDRA: Cough, Nasopharyngitis, Sneezing — Feeling: GoodFree text: Massive head cold with cough and sneeze. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-05-12
- 2021-08-12
-
2021-11-29
Dose 3 — Moderna
-
2022-02-10
Survey response — 12 months, dose 2MedDRA: Bronchitis, COVID-19, Choking sensation, Fatigue, Goitre, Nausea, Oropharyngeal pain, Pharyngitis streptococcal, Wheezing — Feeling: Good · 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: CoVID Infection symptoms: Thyroid swelling and choking sensation for 3 weeks Nausea Sore throat Wheezing Fatigue Other: 4 weeks bronchitis preceding CoVID Infection. Strep throat during CoVID InfectionMedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
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)
-
2022-02-14
Call successfulNot applicable - Accidental Reporting
-
2022-05-30
Survey response — 6 months, dose 3MedDRA: Gallbladder disorder, Pre-existing disease, Viraemia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Post CoVID viremia Gall bladder attackMedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-01
- 2022-06-01
- 2022-06-06
- 2022-06-06
-
2022-09-28
Dose 4 — Pfizer-BioNTech
- 2022-10-01
- 2022-10-02
-
2022-10-04
Survey response — days 1–6 daily, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: FairFree text: Varicella flare up in mouth.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Survey response — day 7, dose 4MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Varicella flare up in mouthMedDRA releases: 2024-11 · check-in free text available
-
2022-10-05
Report sent to call center — day 7, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-10-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-09-28 | Pfizer-BioNTech | No |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 5 — day 35, dose 2
Symptoms: Massive head cold with cough and sneeze. No fever.
Release 11 — 12 months, dose 2
Symptoms: CoVID Infection symptoms: Thyroid swelling and choking sensation for 3 weeks Nausea Sore throat Wheezing Fatigue Other: 4 weeks bronchitis preceding CoVID Infection. Strep throat during CoVID Infection
Release 11 — 6 months, dose 3
Symptoms: Post CoVID viremia Gall bladder attack
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Varicella flare up in mouth.
Release 12 — day 7, dose 4
Systemic reaction (other): Varicella flare up in mouth
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 | Choking sensation | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gallbladder disorder | · | · | ✓ |
| SD | Goitre | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pharyngitis streptococcal | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Viraemia | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Condition aggravated | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release