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GJP-10159-03595

2 vaccinations 5 coded responses 27 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
201 / VA
Registered
2021-03-11
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain
    Free text: Higher heart rate than normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-09
    Dose 2 — Moderna
  15. 2021-04-09
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bitterness in tongue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Forehead pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  21. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  22. 2021-04-16
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Joint pains
    Adult check-in
  23. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-30
    Survey response — day 21, dose 2
    MedDRA: Seasonal allergy — Feeling: Good
    Free text: Allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-23
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  30. 2022-04-09
    Survey response — 12 months, dose 2
    MedDRA: Bone pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Bone pain
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-09
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  32. 2022-04-14
  33. 2022-04-14
  34. 2022-04-14
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-09Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Higher heart rate than normal

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Bitterness in tongue

2021-04-12

Systemic reaction (other): Forehead pain

Release 8 — day 21, dose 2

2021-04-30

Symptoms: Allergies

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Bone 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

FieldPreferred term2021-092023-042024-11
SDBone pain · · ✓
SDSeasonal allergy ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓

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

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