N4W-32334-35099
4 vaccinations
5 coded responses
46 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Abdominal painAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
-
2021-04-13
Survey response — day 21, dose 1MedDRA: Office visit, Pain, Peripheral swelling, Pruritus, Swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I started developing these small bumps on both arms and on my chest. Theyre itchy and painful. · Healthcare visit (other): It is in-person scheduled for tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-20
Dose 2 — Moderna
-
2021-04-20
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
-
2021-05-11
Survey response — day 21, dose 2MedDRA: Feeling hot — Feeling: GoodFree text: I feel like I have a fever all the time without actually having a fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Chills — Feeling: Good · Be unable to do your normal daily activitiesFree text: Body chills out of no where persistently for a couple of days recently.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-19
-
2021-11-04
Dose 3 — Moderna
- 2021-11-06
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-02-20
- 2022-05-05
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2022-09-23
Dose 4 — Moderna
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-23
- 2022-10-28
- 2022-11-04
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2022-12-23
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Hyperhidrosis, Nasal congestion, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: cough, runny nose, excess sweating, mild headache, nose congestionMedDRA releases: 2024-11 · check-in free text available
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2023-03-24
Survey response — 6 months, dose 4MedDRA: Influenza, Nasopharyngitis — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-24
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-03-27
Call successfulParticipant prefers to complete VAERS report online
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2023-03-27
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 7 — day 21, dose 1
Symptoms: I started developing these small bumps on both arms and on my chest. Theyre itchy and painful.
Healthcare visit (other): It is in-person scheduled for tomorrow.
Release 8 — day 21, dose 2
Symptoms: I feel like I have a fever all the time without actually having a fever.
Release 9 — 3 months, dose 2
Symptoms: Body chills out of no where persistently for a couple of days recently.
Release 12 — 3 months, dose 4
Symptoms: cough, runny nose, excess sweating, mild headache, nose congestion
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release