LRR-23054-91535
3 vaccinations
5 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 36-40
- ZIP prefix
- 890 / NV
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-12
Dose 2 — Moderna
-
2021-03-13
Registered in v-safe
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: A bit of trouble breathing- not sure if it was asthma or anxiety related. Racing heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-10
- 2021-04-16
- 2021-04-23
- 2021-06-11
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2021-09-11
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Cough, Pregnancy, Rhinorrhoea, Uterine dilation and curettage — Feeling: FairFree text: Pregnant in June, miscarriage- d & c in august. Last week or so- Runny nose, slight cough. Possibly allergies.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Dose 3 — Pfizer-BioNTechCo-administered: Flu
-
2021-11-11
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2021-11-13
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good · Site: PainFree text: Last night I had numbness and tingly in my left hand and forearm. Not sure if it was vaccination related but it continued for about 2 hours, despite frequently moving my arm.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
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2021-12-08
Survey response — day 28, dose 3MedDRA: Cough, Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Minor cough and congestion but probably just allergiesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-15
- 2021-12-22
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2022-02-09
Survey response — 3 months, dose 3MedDRA: SARS-CoV-2 test positive — Feeling: Good · 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: Positive COVID PCR testMedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Report sent to call center — 3 months, dose 3Be 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)
- 2022-02-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-10 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-09 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): A bit of trouble breathing- not sure if it was asthma or anxiety related. Racing heart
Release 9 — 6 months, dose 2
Symptoms: Pregnant in June, miscarriage- d & c in august. Last week or so- Runny nose, slight cough. Possibly allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night I had numbness and tingly in my left hand and forearm. Not sure if it was vaccination related but it continued for about 2 hours, despite frequently moving my arm.
Release 10 — day 28, dose 3
Symptoms: Minor cough and congestion but probably just allergies
Release 11 — 3 months, dose 3
Symptoms: Positive COVID PCR test
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 | Abortion spontaneous | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Uterine dilation and curettage | · | · | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release