K4D-18931-92934
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 601 / IL
- Registered
- 2021-09-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-03
Registered in v-safe
-
2021-09-03
Dose 1 — Moderna
- 2021-09-03
- 2021-09-04
- 2021-09-06
- 2021-09-07
- 2021-09-08
- 2021-09-09
- 2021-09-10
- 2021-09-17
-
2021-09-24
Survey response — day 21, dose 1MedDRA: Cough, Oropharyngeal pain, Productive cough, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congested, sore throat, cough. Occasionally coughing up mucousMedDRA releases: 2024-11 · check-in free text available
-
2021-10-01
Dose 2 — Moderna
- 2021-10-01
-
2021-10-02
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · 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: Fast heart rateMedDRA releases: 2024-11 · check-in free text available
-
2021-10-02
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 professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-08
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-16
- 2021-10-23
- 2021-10-29
- 2021-11-05
- 2021-11-14
- 2021-12-06
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2021-12-31
Survey response — 3 months, dose 2MedDRA: Dyspnoea, Heart rate increased — 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 · Outpatient clinic or urgent care clinic visitFree text: Breathlessness increasing Heartrate is still higher than usualMedDRA releases: 2024-11 · check-in free text available
-
2021-12-31
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-01-04
Call successfulParticipant prefers to complete VAERS report online
- 2022-04-01
-
2022-10-03
Survey response — 12 months, dose 2MedDRA: Computerised tomogram abnormal, Galactostasis, Hypoaesthesia, Mass excision, Surgery, Uterine polyp — 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 · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Mass removed from abdomen Polyup on ovary Reoccurring breastmilk plugged ducts Numbness in feet Large spleen viewed on 2 ct scans this year. · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-10-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-03 | Moderna | No |
| 2 | 2021-10-01 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 9 — day 21, dose 1
Symptoms: Congested, sore throat, cough. Occasionally coughing up mucous
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Fast heart rate
Release 10 — 3 months, dose 2
Symptoms: Breathlessness increasing Heartrate is still higher than usual
Release 12 — 12 months, dose 2
Symptoms: Mass removed from abdomen Polyup on ovary Reoccurring breastmilk plugged ducts Numbness in feet Large spleen viewed on 2 ct scans this year.
Healthcare visit (other): Surgery
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 | Surgery | · | · | ✓ |
| SD | Computerised tomogram abnormal | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Galactostasis | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Mass excision | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Uterine polyp | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release