G6F-43963-03031
4 vaccinations
15 coded responses
46 check-ins
15 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
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2021-01-20
Registered in v-safe
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2021-01-20
Survey response — days 1–6 daily, dose 1MedDRA: Injection site swelling — Feeling: Fair · Site: Pain, RednessFree text: Bump at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Bruise at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Tachycardia — Feeling: Poor · Site: Pain · Fever · Chills · Be unable to work, Be unable to do your normal daily activitiesFree text: TachycardiaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Night sweats — Feeling: Poor · Site: Pain · Fever · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Chest tightness and night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Report sent to call center — days 1–6 daily, 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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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: FairFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: FairFree text: Chest tightnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — day 7, dose 2MedDRA: Chest pain — Feeling: FairFree text: Chest painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-13
- 2021-03-15
- 2021-03-22
- 2021-05-19
- 2021-08-10
- 2021-08-16
- 2021-08-16
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2021-08-16
Call successfulParticipant prefers to complete VAERS report online
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2021-10-26
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Nausea · Be unable to work or attend schoolAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Abdominal pain · Be unable to work or attend schoolAdult check-in
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · ChillsFree text: Chest tightnessMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest tightnessMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: FairFree text: Mild chest tightnessMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort — Feeling: FairFree text: Mild chest tightnessMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 3MedDRA: Chest discomfort — Feeling: FairFree text: Mild chest tightnessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-18
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Pregnancy · Healthcare visit (other): OBMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-27
Call successfulParticipant prefers to complete VAERS report online
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2022-04-27
Call successfulParticipant prefers to complete VAERS report online
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2022-09-08
Dose 4 — ModernaCo-administered: Flu
- 2022-09-08
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2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint painsAdult check-in
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2022-09-10
Survey response — days 1–6 daily, dose 4MedDRA: Hot flush — Feeling: Fair · Site: Pain · FeverFree text: Hot flashesMedDRA releases: 2024-11 · check-in free text available
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Joint painsAdult check-in
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2022-09-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Headache, Joint painsAdult check-in
- 2022-09-17
- 2022-09-24
- 2022-10-07
- 2022-10-14
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-09-08 | Moderna | Flu |
Call center
3 call center cases
3 successful
1 wait over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Bump at injection site
Systemic reaction (other): Bruise at injection site
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tachycardia
Systemic reaction (other): Chest tightness
Systemic reaction (other): Chest tightness and night sweats
Systemic reaction (other): Chest tightness
Systemic reaction (other): Chest tightness
Release 4 — day 7, dose 2
Systemic reaction (other): Chest pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest tightness
Systemic reaction (other): Chest tightness
Systemic reaction (other): Mild chest tightness
Systemic reaction (other): Mild chest tightness
Release 10 — day 7, dose 3
Systemic reaction (other): Mild chest tightness
Release 11 — 6 months, dose 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Hot flashes
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 | Office visit | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Tachycardia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release