JH3-81925-04585
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-03
Registered in v-safe
-
2021-01-03
Dose 1 — Moderna
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Nausea — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professionalFree text: Message to my PCP about nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-04
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-12
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Injection site rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash on arm near Injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-24
-
2021-01-29
Dose 2 — Moderna
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Nausea, Abdominal painAdult check-in
-
2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-03
-
2021-02-03
Call successfulCompleted over the phone
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2021-02-03
Call successfulCompleted over the phone
- 2021-02-05
- 2021-02-14
- 2021-02-19
- 2021-02-28
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-11-03
Dose 3 — ModernaCo-administered: Flu
- 2022-01-29
-
2022-09-10
Dose 4 — Moderna
- 2022-09-20
- 2022-09-26
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2022-12-10
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Fair · 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 consultationFree text: Had covid from 11/28-12/2MedDRA releases: 2024-11 · check-in free text available
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2022-12-10
Report sent to call center — 3 months, dose 4Be 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 · 1 call case(s)
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2022-12-13
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-03 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-03 | Moderna | Flu |
| 4 | 2022-09-10 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 1 — days 1–6 daily, dose 1
Healthcare visit (other): Message to my PCP about nausea
Systemic reaction (other): Swollen lymph nodes
Release 2 — day 14, dose 1
Symptoms: Rash on arm near Injection site
Release 12 — 3 months, dose 4
Symptoms: Had covid from 11/28-12/2
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Nausea | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release