N2X-15715-43972
3 vaccinations
6 coded responses
39 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
S3N-14071-99932
Child or adolescent in my care · Male · 2022-07-30
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-11
- 2021-01-12
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: But don't think it's related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Cellulitis, Erythema, Hypersensitivity, Incision site erythema, Incision site pruritus, Incision site swelling, Injection site pruritus, Office visit, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Redness and swelling near and below incision site with itchiness. · Healthcare visit (other): Went to doctor and diagnosed with allergic reaction/cellulitis. Prescribed antibiotics.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-30
- 2021-02-05
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
-
2021-03-17
Survey response — day 35, dose 2MedDRA: Cough, Nasal congestion, Respiratory tract congestion, Rhinorrhoea, Tinnitus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal/chest congestion, runny nose, cough, tinnitus. But likely caught from 11 month old son who got virus from day care. He tested negative for covid/flu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-31
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2021-04-07
Call successfulParticipant prefers to complete VAERS report online
- 2021-05-12
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2021-08-11
Survey response — 6 months, dose 2MedDRA: Cough, Laryngitis, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Cough, congestion, runny nose, laryngitis - negative covid testMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
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2021-12-08
Dose 3 — Moderna
- 2021-12-08
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-12-11
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · HeadacheAdult check-in
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Pain — Feeling: Good · Site: ItchingFree text: Pain in under arm when reaching overhead or forwardMedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2021-12-15
- 2021-12-24
- 2021-12-29
- 2022-01-05
- 2022-01-19
- 2022-03-09
- 2022-06-10
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2022-12-08
Survey response — 12 months, dose 3MedDRA: Cough, Fatigue, Nasal congestion, Oropharyngeal pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fatigue, sore throat, nasal congestion, coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-12-08 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): But don't think it's related to vaccine.
Release 2 — day 14, dose 1
Symptoms: Redness and swelling near and below incision site with itchiness.
Healthcare visit (other): Went to doctor and diagnosed with allergic reaction/cellulitis. Prescribed antibiotics.
Release 5 — day 35, dose 2
Symptoms: Nasal/chest congestion, runny nose, cough, tinnitus. But likely caught from 11 month old son who got virus from day care. He tested negative for covid/flu.
Release 9 — 6 months, dose 2
Symptoms: Cough, congestion, runny nose, laryngitis - negative covid test
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in under arm when reaching overhead or forward
Release 12 — 12 months, dose 3
Symptoms: Fatigue, sore throat, nasal congestion, 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Cellulitis | ✓ | ✓ | ✓ |
| HCVO | Hypersensitivity | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ○ |
| SD | Fatigue | · | · | ✓ |
| SD | Incision site erythema | · | · | ✓ |
| SD | Incision site pruritus | · | · | ✓ |
| SD | Incision site swelling | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ○ |
| SD | Laryngitis | ✓ | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Swelling | ✓ | ✓ | ○ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release