KZH-26220-78962
4 vaccinations
11 coded responses
30 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 981 / WA
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Registered in v-safe
-
2021-05-08
Dose 2 — Moderna
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: stuffy"-feeling headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-12
-
2021-06-19
Survey response — day 42, dose 2MedDRA: Headache, Myalgia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Congestion/ runny nose, headaches, muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-07
- 2021-11-06
-
2021-11-18
Dose 3 — Moderna
- 2022-05-09
-
2022-10-08
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-08
-
2022-10-09
Survey response — days 1–6 daily, dose 4MedDRA: Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2024-11 · check-in free text available
-
2022-10-10
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Muscle or body achesFree text: Swollen arm pit; CongestionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral, Respiratory tract congestion — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesFree text: Congestion, swollen armpitMedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Survey response — day 7, dose 4MedDRA: Oedema peripheral — Feeling: GoodFree text: Swollen armpitMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
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2022-11-19
Survey response — day 42, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Upper-airway cough syndrome — Feeling: FairFree text: Nasal congestion, post-nasal drip; Head congestion; Sore throatMedDRA releases: 2024-11 · check-in free text available
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2023-01-07
Survey response — 3 months, dose 4MedDRA: Lower respiratory tract infection, Menstruation irregular, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
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2023-04-08
Survey response — 6 months, dose 4MedDRA: COVID-19, Pregnancy — 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 consultationMedDRA releases: 2024-11
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2023-04-08
Report sent to call center — 6 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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2023-04-10
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-10-08 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 successful
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): stuffy"-feeling head
Release 9 — day 42, dose 2
Symptoms: Congestion/ runny nose, headaches, muscle aches
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Insomnia
Systemic reaction (other): Swollen arm pit; Congestion
Systemic reaction (other): Congestion, swollen armpit
Systemic reaction (other): Swollen armpit
Systemic reaction (other): Swollen armpit
Release 12 — day 7, dose 4
Systemic reaction (other): Swollen armpit
Release 12 — day 42, dose 4
Symptoms: Nasal congestion, post-nasal drip; Head congestion; Sore throat
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 | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release