PEX-65287-85203
4 vaccinations
4 coded responses
48 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 017 / MA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-06
Dose 1 — Moderna
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-07-03
- 2021-10-02
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-14
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-18
-
2021-11-19
Health check-in — day 7, dose 3Feeling: Fair · Headache · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-26
Survey response — day 14, dose 3MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: GoodFree text: Sore throat and a coldMedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 21, dose 3MedDRA: Nasopharyngitis, Sinus disorder — Feeling: GoodFree text: I have had a cold, mostly in my sinuses.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
-
2021-12-17
Survey response — day 35, dose 3MedDRA: Headache, Hot flush — Feeling: FairFree text: I had a shingles vaccine and have had a headache for 2 days and major hot flashesMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2022-02-11
-
2022-05-06
Dose 4 — Moderna
- 2022-05-13
- 2022-05-19
- 2022-05-20
- 2022-05-27
- 2022-06-05
- 2022-06-10
-
2022-06-17
Survey response — day 42, dose 4MedDRA: SARS-CoV-2 test positive — 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 consultationFree text: Tested positive for CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-06-17
Report sent to call center — day 42, dose 4Be 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 · 1 call case(s)
- 2022-06-21
-
2022-06-24
Call successfulParticipant prefers to complete VAERS report online
- 2022-08-05
- 2022-11-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 3
Symptoms: Sore throat and a cold
Release 10 — day 21, dose 3
Symptoms: I have had a cold, mostly in my sinuses.
Release 10 — day 35, dose 3
Symptoms: I had a shingles vaccine and have had a headache for 2 days and major hot flashes
Release 12 — day 42, dose 4
Symptoms: Tested positive for Covid
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 |
|---|---|---|---|---|
| SD | Headache | · | · | ✓ |
| SD | Hot flush | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release