M3H-13152-13871
3 vaccinations
8 coded responses
37 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 038 / NH
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Registered in v-safe
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2021-04-08
Dose 1 — Janssen/Johnson & Johnson
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat, increased sweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Hyperhidrosis — Feeling: Fair · Site: PainFree text: Increased sweatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-07
- 2021-05-13
- 2021-05-20
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2021-07-08
Survey response — 3 months, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: I had a really bad cold sore on my lips and nose. Worse than ever bevor, but with today nearly fully healed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-07
Survey response — 6 months, dose 1MedDRA: Alopecia — Feeling: GoodFree text: I think I loose more hair.MedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Dose 2 — Moderna
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2021-11-01
Survey response — days 1–6 daily, dose 2MedDRA: Stomatitis, Vulvovaginal discomfort — Feeling: GoodFree text: Irritated mucosa in mouth and vaginal since the day after the booster shot, it's healing slowlyMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — day 7, dose 2MedDRA: Vulvovaginal discomfort — Feeling: Good · HeadacheFree text: Still a little irritated mucosa vaginal.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
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2022-04-26
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Neuralgia, Office visit, SARS-CoV-2 test negative, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Neck issues with nerve pain. Not related to the vaccine, as far as I can say. I also had a bad cold, still testing negative for covid. · Healthcare visit (other): ChiropractorMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-27
-
2022-04-28
Callback requested for08:00AM ET
-
2022-04-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-01
Dose 3 — Moderna
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2022-10-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
- 2022-10-03
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-30
- 2022-11-05
- 2022-11-14
- 2022-12-31
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2023-04-01
Survey response — 6 months, dose 3MedDRA: Dyspnoea — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-01
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2023-04-03
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Janssen/Johnson & Johnson | |
| 2 | 2021-10-26 | Moderna | No |
| 3 | 2022-10-01 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat, increased sweating
Systemic reaction (other): Increased sweating
Release 9 — 3 months, dose 1
Symptoms: I had a really bad cold sore on my lips and nose. Worse than ever bevor, but with today nearly fully healed.
Release 10 — 6 months, dose 1
Symptoms: I think I loose more hair.
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Irritated mucosa in mouth and vaginal since the day after the booster shot, it's healing slowly
Release 10 — day 7, dose 2
Systemic reaction (other): Still a little irritated mucosa vaginal.
Release 11 — 6 months, dose 2
Symptoms: Neck issues with nerve pain. Not related to the vaccine, as far as I can say. I also had a bad cold, still testing negative for covid.
Healthcare visit (other): Chiropractor
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 | Office visit | · | · | ✓ |
| SD | Alopecia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Stomatitis | · | · | ✓ |
| SRO | Vulvovaginal discomfort | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release