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FYN-18044-46863

4 vaccinations 6 coded responses 39 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
194 / PA
Registered
2021-02-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
29G-30882-64223 Child or adolescent in my care · Female · 2021-12-01
ZDY-25146-18623 Child or adolescent in my care · Female · 2022-06-20

Timeline

  1. 2021-01-04
    Dose 1 — Moderna
  2. 2021-02-06
    Dose 2 — Moderna
  3. 2021-02-08
    Registered in v-safe
  4. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Myalgia, Nausea, Pyrexia — Feeling: Good · Site: Pain · Abdominal pain
    Free text: 12 hours after second moderna, I had fever with Tmax 104, severe myalgias, HA, nausea. This improved by 48 hours. My first check in was second day after vaccine and did not give me a chance to report high fever on day 1. I had no respiratory sx and am fine now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: I dont think the headache was related to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: Im not tired from the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-05
    Dose 3 — Pfizer-BioNTech
  18. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  20. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-26
    Survey response — day 21, dose 3
    MedDRA: SARS-CoV-2 test negative, Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school
    Free text: I have a Covid negative viral URI
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-19
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-05-06
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-09-07
    Dose 4 — Pfizer-BioNTech
  32. 2022-09-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  33. 2022-09-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  34. 2022-09-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache
    Adult check-in
  35. 2022-09-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-09-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-09-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-09-21
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-09-28
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-10-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-10-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-10-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-12-07
    Survey response — 3 months, dose 4
    MedDRA: Extrasystoles, Ventricular extrasystoles — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Frequent PVCs, bigeminy, trigeminy. In process of cardiac work up.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-12-07
    Report sent to call center — 3 months, dose 4
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  45. 2022-12-08
  46. 2022-12-13
    Call successful
    Participant prefers to complete VAERS report online
  47. 2023-03-08
    Survey response — 6 months, dose 4
    MedDRA: Arrhythmia, COVID-19 — Feeling: Good · 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
    MedDRA releases: 2024-11
  48. 2023-03-08
    Report sent to call center — 6 months, dose 4
    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 · 1 call case(s)
  49. 2023-03-09
  50. 2023-03-14

Vaccinations

DoseDateManufacturerCo-administered
12021-01-04Moderna
22021-02-06Moderna
32021-11-05Pfizer-BioNTech No
42022-09-07Pfizer-BioNTech No

Call center

2 call center cases

1 successful · 1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): 12 hours after second moderna, I had fever with Tmax 104, severe myalgias, HA, nausea. This improved by 48 hours. My first check in was second day after vaccine and did not give me a chance to report high fever on day 1. I had no respiratory sx and am fine now.

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): I dont think the headache was related to vaccine

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): Im not tired from the vaccine

Release 10 — day 21, dose 3

2021-11-26

Symptoms: I have a Covid negative viral URI

Release 12 — 3 months, dose 4

2022-12-07

Symptoms: Frequent PVCs, bigeminy, trigeminy. In process of cardiac work up.

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
SDArrhythmia · · ✓
SDCOVID-19 · · ✓
SDExtrasystoles · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVentricular extrasystoles · · ✓
SDViral upper respiratory tract infection · · ✓
SROHeadache ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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