PUY-20123-42399
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 752 / TX
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Face flushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 1MedDRA: Immunisation reaction, Rash erythematous, Rash papular — Feeling: GoodFree text: COVID arm! Got a red raised rash around the injection site for about 3 days, starting 9 days after my vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: Fair · Site: PainFree text: Face flushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches · Be unable to workAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-22
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-11-27
Dose 3 — Moderna
-
2021-11-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-30
- 2021-12-01
- 2021-12-02
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-04
- 2021-12-11
-
2021-12-18
Survey response — day 21, dose 3MedDRA: COVID-19, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I contracted COVID19 · Healthcare visit (other): Covid 19 testMedDRA releases: 2024-11 · check-in free text available
-
2021-12-18
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-22
-
2021-12-22
Call successfulParticipant prefers to complete VAERS report online
- 2021-12-25
- 2022-01-01
-
2022-01-10
Survey response — day 42, dose 3MedDRA: Hypotension — Feeling: FairFree text: Low blood pressureMedDRA releases: 2024-11 · check-in free text available
- 2022-02-26
- 2022-05-30
-
2022-11-27
Survey response — 12 months, dose 3MedDRA: Dizziness, Fatigue, Headache, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue, dizziness, headaches. Being tested for MS. · Healthcare visit (other): Visit with my regular GPMedDRA releases: 2024-11 · check-in free text available
-
2022-11-27
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-27 | Moderna | No |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Face flushing
Release 6 — day 14, dose 1
Symptoms: COVID arm! Got a red raised rash around the injection site for about 3 days, starting 9 days after my vaccine.
Release 7 — day 0, dose 2
Systemic reaction (other): Face flushing
Release 10 — day 21, dose 3
Release 10 — day 42, dose 3
Symptoms: Low blood pressure
Release 12 — 12 months, dose 3
Symptoms: Fatigue, dizziness, headaches. Being tested for MS.
Healthcare visit (other): Visit with my regular GP
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 | · | · | ✓ |
| HCVO | SARS-CoV-2 test | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release