FX7-27396-10650
3 vaccinations
5 coded responses
25 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 452 / OH
- Registered
- 2021-06-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-12
Dose 1 — Moderna
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2021-06-09
Registered in v-safe
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2021-06-09
Dose 2 — Moderna
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2021-06-09
Survey response — day 0, dose 2MedDRA: Headache — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-06-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · 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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2021-06-16
Health check-in — day 7, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-06-23
Survey response — day 14, dose 2MedDRA: Pain, Pain in jaw, Swelling face — Feeling: Fair · 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: The left side of my face is swollen and my jaw has pretty intense pain when I eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-23
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-01
Survey response — day 21, dose 2MedDRA: Jaw clicking — Feeling: Good · 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: Left jaw cracking while eatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-07-16
- 2021-07-21
- 2021-12-10
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2022-06-09
Survey response — 12 months, dose 2MedDRA: Brain fog, Chills, Pain, Pyrexia — 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 visit, Emergency room or emergency department visit, HospitalizationFree text: Intermittent fever, brain fog, body aches, chillsMedDRA releases: 2024-11 · check-in free text available
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2022-06-09
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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-06-10
Call successfulCompleted over the phone
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2022-06-10
Call successfulCompleted over the phone
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2022-06-10
Call successfulCompleted over the phone
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2022-10-14
Dose 3 — Moderna
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2022-10-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
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2022-10-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-21
Health check-in — day 7, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-30
- 2022-11-04
- 2022-11-12
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2022-11-18
Survey response — day 35, dose 3MedDRA: Chills, Cough, Headache, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, chills, cough, headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-25
- 2023-01-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-09 | Moderna | |
| 3 | 2022-10-14 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Headache
Release 9 — day 14, dose 2
Symptoms: The left side of my face is swollen and my jaw has pretty intense pain when I eat.
Release 9 — day 21, dose 2
Symptoms: Left jaw cracking while eating
Release 12 — 12 months, dose 2
Symptoms: Intermittent fever, brain fog, body aches, chills
Release 12 — day 35, dose 3
Symptoms: Sore throat, chills, cough, headache
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 | Brain fog | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Jaw clicking | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Swelling face | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release