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MCT-23522-07977

4 vaccinations 3 coded responses 14 check-ins 2 free-text entries 2 call cases
Sex
Female
Age at first dose
16-20
ZIP prefix
018 / MA
Registered
2021-05-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-31
    Dose 1 — Moderna
  2. 2021-04-29
    Dose 2 — Moderna
  3. 2021-05-01
    Registered in v-safe
  4. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  9. 2021-05-05
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-05-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-10
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-29
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-10-29
    Survey response — 6 months, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Exhaustion even though sleeping 8 or more hours per night. I
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-09
    Dose 3 — Moderna
  19. 2022-04-16
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  20. 2022-04-27
    Dose 4 — Moderna
  21. 2023-04-29
    Survey response — 12 months, dose 4
    MedDRA: Tonsillitis — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, Hospitalization
    MedDRA releases: 2024-11
  22. 2023-04-29
    Report sent to call center — 12 months, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
  23. 2023-05-01
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-29Moderna
32021-12-09Moderna No
42022-04-27Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 9 — day 42, dose 2

2021-06-10

Symptoms: headaches

Release 10 — 6 months, dose 2

2021-10-29

Symptoms: Exhaustion even though sleeping 8 or more hours per night. I

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
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDTonsillitis · · ✓

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