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FJL-19162-04998

3 vaccinations 4 coded responses 25 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
554 / MN
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-25
    Survey response — day 0, dose 1
    MedDRA: Nausea — Feeling: Fair · Nausea
    Free text: Nausea may have been PMS related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea
    Adult check-in
  5. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  6. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-15
    Survey response — day 21, dose 1
    MedDRA: Urinary tract infection — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: UTI but i don't think it was related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Report sent to call center — day 21, dose 1
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-29
    Dose 2 — Moderna
  14. 2021-04-29
    Survey response — day 0, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Tingling in the arm from the shot and fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea
    Adult check-in
  16. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  18. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-01
    Dose 3 — Pfizer-BioNTech
    Co-administered: Flu
  28. 2022-03-31
  29. 2022-05-01
    Survey response — 12 months, dose 2
    MedDRA: Cough, Influenza, Myalgia, Oropharyngeal pain, Sinus headache — Feeling: Poor · 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 visit
    Free text: Flue symptoms, sinus headache, chills, muscle aches, soar throat, and cough.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-05-01
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  31. 2022-05-02
    Call successful
    Does not wish to fill out VAERS report
  32. 2022-06-03
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-12-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-29Moderna
32021-12-01Pfizer-BioNTech Flu

Call center

2 call center cases

2 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): Nausea may have been PMS related

Release 7 — day 21, dose 1

2021-04-15

Symptoms: UTI but i don't think it was related.

Release 8 — day 0, dose 2

2021-04-29

Systemic reaction (other): Tingling in the arm from the shot and fingers

Release 11 — 12 months, dose 2

2022-05-01

Symptoms: Flue symptoms, sinus headache, chills, muscle aches, soar throat, and cough.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDInfluenza · · ✓
SDMyalgia · · ✓
SDOropharyngeal pain · · ✓
SDSinus headache · · ✓
SDUrinary tract infection ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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