LY6-14047-71548
3 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 535 / WI
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
-
2021-03-21
Survey response — day 7, dose 1MedDRA: Nightmare — Feeling: Good · Site: Pain · HeadacheFree text: Bad dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
-
2021-04-05
Dose 2 — Moderna
- 2021-04-05
-
2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: ItchingFree text: Foggy brainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Foggy brainMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-11-18
Dose 3 — Moderna
- 2022-04-05
-
2022-05-21
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Pyrexia, Unevaluable event — 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 · Telehealth, virtual health, or email health consultationFree text: Upper respiratory, coughing, fever, covidMedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 6 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-24
Call successfulParticipant prefers to complete VAERS report online
-
2022-11-20
Survey response — 12 months, dose 3MedDRA: Ear congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Plugged ears Runny noseMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Bad dreams
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): Foggy brain
Release 7 — day 7, dose 2
Systemic reaction (other): Foggy brain
Release 11 — 6 months, dose 3
Symptoms: Upper respiratory, coughing, fever, covid
Release 12 — 12 months, dose 3
Symptoms: Plugged ears Runny nose
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Nightmare | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release