MVY-19753-97817
4 vaccinations
10 coded responses
41 check-ins
9 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 303 / GA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
C2S-22879-94085
Child or adolescent in my care · Male · 2022-06-28
N26-22246-91022
Child or adolescent in my care · Male · 2022-10-20
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-04-02
Dose 2 — Moderna
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-05
Registered in v-safe
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Slight swelling in my armpit on the side I got my shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: I got a cold (runny nose, sore throat) but it's better nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-03
Survey response — 6 months, dose 2MedDRA: Conjunctivitis, Nasopharyngitis, Pregnancy, Pyrexia — Feeling: Fair · 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 visitFree text: I had a slight fever and cold for a week at the end of Aug. I had pink eye. I'm also 12 weeks pregnant.MedDRA releases: 2024-11 · check-in free text available
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2021-10-03
Report sent to call center — 6 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-04
Dose 3 — Moderna
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2021-11-04
Health check-in — day 0, dose 3Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness, Feeling hot — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness, feeling suddenly hotMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-16
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2021-11-17
Call successfulDoes not wish to fill out VAERS report
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2021-11-18
Survey response — day 14, dose 3MedDRA: Urticaria — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Yesterday I broke out in hives.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-19
Call successfulDoes not wish to fill out VAERS report
- 2021-11-25
- 2021-12-02
- 2021-12-11
- 2021-12-16
- 2022-02-04
- 2022-05-05
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2022-10-27
Dose 4 — Moderna
- 2022-10-28
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2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-10-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
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2022-11-10
Survey response — day 14, dose 4MedDRA: Abdominal pain upper — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Stomach acheMedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-11
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2022-11-11
Call successfulCompleted over the phone
- 2022-11-19
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2022-11-24
Survey response — day 28, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Sore throat, runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Survey response — day 35, dose 4MedDRA: Influenza, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection, flu-type virusMedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-02
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2022-12-08
Survey response — day 42, dose 4MedDRA: Sinusitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Severe sinus infection · Healthcare visit (other): MRIMedDRA releases: 2024-11 · check-in free text available
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2022-12-08
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-09
- 2022-12-09
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2023-01-20
Call successfulCompleted over the phone
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2023-01-20
Call successfulCompleted over the phone
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2023-01-28
Survey response — 3 months, dose 4MedDRA: COVID-19, Chronic sinusitis — Feeling: Fair · 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 visitMedDRA releases: 2024-11
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2023-01-28
Report sent to call center — 3 months, dose 4Be 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)
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2023-01-30
Call successfulReported to VAERS during previous contact from GDIT
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-10-27 | Moderna | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 4
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight swelling in my armpit on the side I got my shot
Release 9 — 3 months, dose 2
Symptoms: I got a cold (runny nose, sore throat) but it's better now
Release 9 — 6 months, dose 2
Symptoms: I had a slight fever and cold for a week at the end of Aug. I had pink eye. I'm also 12 weeks pregnant.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness, feeling suddenly hot
Release 10 — day 14, dose 3
Symptoms: Yesterday I broke out in hives.
Release 12 — day 14, dose 4
Symptoms: Stomach ache
Release 12 — day 28, dose 4
Symptoms: Sore throat, runny nose
Release 12 — day 35, dose 4
Symptoms: Sinus infection, flu-type virus
Release 12 — day 42, dose 4
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 | Unevaluable event | · | · | ✓ |
| SD | Abdominal pain upper | · | · | ✓ |
| SD | Chronic sinusitis | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release