PEX-79453-08828
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 440 / OH
- Registered
- 2021-11-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-11-19
Registered in v-safe
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2021-11-19
Dose 1 — Moderna
- 2021-11-19
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2021-11-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-11-22
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-26
Health check-in — day 7, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-12-03
- 2021-12-10
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2021-12-17
Dose 2 — Moderna
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2021-12-17
Survey response — day 0, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · HeadacheFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia, Oropharyngeal pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sore throat, couldn't sleep at allMedDRA releases: 2024-11 · check-in free text available
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2021-12-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-12-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
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2021-12-21
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
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2021-12-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend schoolAdult check-in
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2021-12-24
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-12-31
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2022-01-07
Survey response — day 21, dose 2MedDRA: Chest discomfort, Cough, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat, headache, cough, chest heaviness, runny nose, stuffiness, low grade fever · Healthcare visit (other): Got tested for Covid and was positiveMedDRA releases: 2024-11 · check-in free text available
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2022-01-07
Report sent to call center — day 21, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2022-01-10
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-15
- 2022-01-21
- 2022-01-28
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-11-19 | Moderna | No |
| 2 | 2021-12-17 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat
Systemic reaction (other): Sore throat
Release 10 — day 0, dose 2
Systemic reaction (other): Sore throat
Release 10 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat, couldn't sleep at all
Systemic reaction (other): Sore throat
Release 10 — day 7, dose 2
Systemic reaction (other): Sore throat
Release 10 — day 21, dose 2
Symptoms: Sore throat, headache, cough, chest heaviness, runny nose, stuffiness, low grade fever
Healthcare visit (other): Got tested for Covid and was positive
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 | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release