GBL-87261-96329
3 vaccinations
8 coded responses
27 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2020-12-30
Registered in v-safe
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2020-12-30
Dose 1 — Moderna
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2020-12-30
Survey response — day 0, dose 1MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: But it could just be normal torednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
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2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-04
- 2021-01-05
- 2021-01-06
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2021-01-13
Survey response — day 14, dose 1MedDRA: Injection site mass, Injection site pruritus, Injection site reaction, Urticaria — Feeling: GoodFree text: Mild to moderate symptoms :Welt and pruritis at injection site lasting 5ish days. I still feel the pruritis at times and have a small lumpMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-20
Survey response — day 21, dose 1MedDRA: Cough, Fatigue, Throat irritation — Feeling: FairFree text: Fatigue and mild scratchy throat with an intermittent cough that I cant even call a cough because it only happens a few times a day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Dose 2 — Moderna
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2021-01-27
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pyrexia, Tremor — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Unrelenting shaking at night with chills and fever and severe body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Lymphadenopathy, Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Rash is all along my upper arm, not just in immediate area of injection. I also have ipsylateral axillary lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: Ipsyllateral axillary lymphadenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-12
- 2021-02-17
- 2021-02-24
- 2021-03-03
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2021-03-11
Survey response — day 42, dose 2MedDRA: Fatigue, Hypersomnia — Feeling: FairFree text: Extreme Fatigue - even coffee isnt helping. Wanting to sleep all the time!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-07-28
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2021-11-29
Dose 3 — Moderna
- 2022-01-31
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2022-06-02
Survey response — 6 months, dose 3MedDRA: Abdominal pain upper, Oesophageal pain — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Gastroesophageal painMedDRA releases: 2024-11 · check-in free text available
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2022-06-02
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-06-03
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2022-06-03
Callback requested for11:45AM ET
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2022-06-03
Call successfulCompleted over the phone
- 2022-11-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): But it could just be normal toredness
Release 1 — day 14, dose 1
Symptoms: Mild to moderate symptoms :Welt and pruritis at injection site lasting 5ish days. I still feel the pruritis at times and have a small lump
Release 2 — day 21, dose 1
Symptoms: Fatigue and mild scratchy throat with an intermittent cough that I cant even call a cough because it only happens a few times a day.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Unrelenting shaking at night with chills and fever and severe body aches
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Rash is all along my upper arm, not just in immediate area of injection. I also have ipsylateral axillary lymphadenopathy
Systemic reaction (other): Ipsyllateral axillary lymphadenopathy
Release 5 — day 42, dose 2
Symptoms: Extreme Fatigue - even coffee isnt helping. Wanting to sleep all the time!
Release 11 — 6 months, dose 3
Symptoms: Gastroesophageal pain
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 | Abdominal pain upper | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Oesophageal pain | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ○ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release