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NB3-11337-72258

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
486 / MI
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to work
    Adult check-in
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-27
    Survey response — day 7, dose 1
    MedDRA: Headache — Feeling: Fair · Headache
    Free text: Headache for 3days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-04-13
    Dose 2 — Moderna
  9. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  12. 2021-05-04
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Cold sweat, Night sweats — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have been having terrible night sweats and clammy in the day time since the shot. Debating on rwaching out to dr. They have gotten better n last day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-15
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Be unable to work or attend school
    Free text: Shortness of breath
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-04-13
    Survey response — 12 months, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Short of breathe,
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-04-13
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Emergency room or emergency department visit · 1 call case(s)
  19. 2022-04-20
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-13Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): No

Release 6 — day 7, dose 1

2021-03-27

Systemic reaction (other): Headache for 3days

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Fever

Release 8 — day 28, dose 2

2021-05-11

Symptoms: I have been having terrible night sweats and clammy in the day time since the shot. Debating on rwaching out to dr. They have gotten better n last day.

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: Shortness of breath

Release 11 — 12 months, dose 2

2022-04-13

Symptoms: Short of breathe,

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
SDCold sweat ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDNight sweats ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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