R2H-12753-33892
4 vaccinations
11 coded responses
39 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 170 / PA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
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2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-25
- 2020-12-26
- 2020-12-27
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-01-22
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness, NauseaFree text: nosebleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, DiarrheaAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
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2021-01-27
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Throat irritation — Feeling: GoodFree text: Sore / itchy throat- mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-03
Survey response — day 42, dose 2MedDRA: Abdominal pain upper, Headache, Nausea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a low-grade fever of 99-100, headache, and stomach pain/nauseapMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — 3 months, dose 2MedDRA: Cough, Exposure to SARS-CoV-2, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: GoodFree text: I was exposed to COVID-19 during an event. I developed congestion, was PCR tested negative, then developed mild cough that cleared within 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-21
-
2021-11-05
Dose 3 — Moderna
- 2022-01-20
- 2022-05-06
-
2022-09-16
Dose 4 — Moderna
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2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2022-09-19
Survey response — days 1–6 daily, dose 4MedDRA: Temperature intolerance — Feeling: Good · Site: PainFree text: Heat intoleranceMedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy, Swelling — Feeling: GoodFree text: swelling- likely related to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: swelling in ankles- likely due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: swelling in ankles- likely due to pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Survey response — day 7, dose 4MedDRA: Pregnancy — Feeling: GoodFree text: swelling in ankles- likely due to pregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
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2023-03-17
Survey response — 6 months, dose 4MedDRA: Arthralgia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-03-17
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-20
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2023-03-24
Callback requested for08:00AM ET
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2023-03-24
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): mild sore throat
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): nosebleed
Release 2 — day 7, dose 2
Systemic reaction (other): Sore / itchy throat- mild
Release 5 — day 42, dose 2
Symptoms: I had a low-grade fever of 99-100, headache, and stomach pain/nauseap
Release 7 — 3 months, dose 2
Symptoms: I was exposed to COVID-19 during an event. I developed congestion, was PCR tested negative, then developed mild cough that cleared within 3 days.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Heat intolerance
Systemic reaction (other): swelling- likely related to pregnancy
Systemic reaction (other): swelling in ankles- likely due to pregnancy
Systemic reaction (other): swelling in ankles- likely due to pregnancy
Release 12 — day 7, dose 4
Systemic reaction (other): swelling in ankles- likely due to pregnancy
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pregnancy | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Temperature intolerance | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release