Q6A-22121-97749
4 vaccinations
7 coded responses
48 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 223 / VA
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
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2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Fair · Site: Pain · Abdominal painFree text: Cold today. All over despite wearing 2 sweaters. No fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2020-12-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
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2021-01-25
Dose 2 — Moderna
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2021-01-25
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-26
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-03
- 2021-02-09
- 2021-02-15
- 2021-02-22
- 2021-03-02
- 2021-03-08
- 2021-04-26
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2021-07-26
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Rash on my body, determined not to be allergy. Has resolved but similar to my previous rash with suspected COVID in Sept 2020.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-04
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2021-10-29
Dose 3 — Moderna
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-04
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-28
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2021-12-03
Survey response — day 35, dose 3MedDRA: Pelvic pain — Feeling: FairFree text: Pelvic pain. Last 2 days but improving.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-10
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2022-01-28
Survey response — 3 months, dose 3MedDRA: Ovarian cyst ruptured — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Ovarian cyst that burst. No previous history.MedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Report sent to call center — 3 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-02-01
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2022-04-29
Survey response — 6 months, dose 3MedDRA: Malaise, Oropharyngeal pain — Feeling: Good · 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Sore throat and COVID symptoms.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — 6 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-02
Call successfulParticipant prefers to complete VAERS report online
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2022-09-28
Dose 4 — Moderna
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2022-10-01
Survey response — days 1–6 daily, dose 4MedDRA: Decreased appetite — Feeling: Fair · Site: Pain, SwellingFree text: Suppressed appetiteMedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-03
- 2022-10-09
- 2022-10-12
- 2022-10-19
- 2022-10-28
- 2022-11-04
- 2022-11-09
- 2022-12-28
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2023-03-29
Survey response — 6 months, dose 4MedDRA: Laryngitis, Pre-existing disease — Feeling: Good · 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 consultationMedDRA releases: 2024-11
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2023-03-29
Report sent to call center — 6 months, 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)
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-28 | Moderna | No |
Call center
4 call center cases
3 successful · 1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Cold today. All over despite wearing 2 sweaters. No fever.
Release 9 — 6 months, dose 2
Symptoms: Rash on my body, determined not to be allergy. Has resolved but similar to my previous rash with suspected COVID in Sept 2020.
Release 10 — day 35, dose 3
Symptoms: Pelvic pain. Last 2 days but improving.
Release 11 — 3 months, dose 3
Symptoms: Ovarian cyst that burst. No previous history.
Release 11 — 6 months, dose 3
Symptoms: Sore throat and COVID symptoms.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Suppressed appetite
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 | Laryngitis | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Ovarian cyst ruptured | · | · | ✓ |
| SD | Pelvic pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release