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LTS-47365-77897

3 vaccinations 5 coded responses 30 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
322 / FL
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
2QE-58894-21504 Child or adolescent in my care · Male · 2022-05-30
9E7-65769-84653 Child or adolescent in my care · Female · 2022-05-30

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-04-30
    Dose 2 — Moderna
  6. 2021-04-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  11. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-30
    Survey response — 3 months, dose 2
    MedDRA: Headache, Neck pain, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Achy neck and headache. Could be due to preexisting condition. · Healthcare visit (other): Chiropractor visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-07-30
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-08-11
  22. 2021-10-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-03
    Dose 3 — Moderna
  24. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  25. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  26. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-12-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-31
    Survey response — day 28, dose 3
    MedDRA: Headache — Feeling: Good
    Free text: Slight to moderate headache.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-01-07
    Survey response — day 35, dose 3
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-03-04
    Survey response — 3 months, dose 3
    MedDRA: Ear pain — Feeling: Good
    Free text: Sore ears, possibly an ear infection
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-06-03
    Survey response — 6 months, dose 3
    MedDRA: Cough, Tinnitus — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Ringing ears, cough
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-06-03
    Report sent to call center — 6 months, dose 3
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  37. 2022-06-06
  38. 2022-06-06
  39. 2022-06-06
    Call successful
    Does not wish to fill out VAERS report
  40. 2022-06-06
    Call successful
    Does not wish to fill out VAERS report
  41. 2022-12-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-30Moderna
32021-12-03Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — 3 months, dose 2

2021-07-30

Symptoms: Achy neck and headache. Could be due to preexisting condition.
Healthcare visit (other): Chiropractor visit

Release 10 — day 28, dose 3

2021-12-31

Symptoms: Slight to moderate headache.

Release 10 — day 35, dose 3

2022-01-07

Symptoms: Diarrhea

Release 11 — 3 months, dose 3

2022-03-04

Symptoms: Sore ears, possibly an ear infection

Release 11 — 6 months, dose 3

2022-06-03

Symptoms: Ringing ears, cough

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
HCVOOffice visit ✓ · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDEar pain · · ✓
SDHeadache ✓ · ✓
SDNeck pain ✓ · ✓
SDTinnitus · · ✓

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