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RR4-19684-45577

4 vaccinations 8 coded responses 33 check-ins 8 free-text entries 2 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
276 / NC
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site coldness, Injection site mass — Feeling: Good · Site: Pain
    Free text: Hard lump and sensation of cold at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-05
    Dose 2 — Moderna
  13. 2021-04-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache
    Adult check-in
  14. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea
    Adult check-in
  16. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains
    Adult check-in
  17. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  18. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Swelling
    Free text: Light spotting but I had my period two weeks ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-10
    Survey response — day 35, dose 2
    MedDRA: Mucosal discolouration, Nasal congestion, Oropharyngeal pain, Sputum discoloured — Feeling: Good
    Free text: Sore throat with white mucus and very congested nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-17
    Survey response — day 42, dose 2
    MedDRA: Acute sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Diagnosed with acute sinusitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-17
    Report sent to call center — day 42, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-07-05
    Survey response — 3 months, dose 2
    MedDRA: Endodontic procedure, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Had a root canal · Healthcare visit (other): Dentist and endodontist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-07-05
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-07-08
  30. 2021-07-08
    Call successful
    Participant prefers to complete VAERS report online
  31. 2021-10-04
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to work or attend school
    Free text: A really bad cold!
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-23
    Dose 3 — Moderna
    Co-administered: Flu
  33. 2022-04-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  34. 2022-10-13
    Dose 4 — Moderna
    Co-administered: Flu
  35. 2022-10-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  36. 2022-10-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-10-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-10-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-10-27
    Survey response — day 14, dose 4
    MedDRA: Oropharyngeal pain, Sneezing — Feeling: Fair
    Free text: Very sore throat and sneezing
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-11-04
    Survey response — day 21, dose 4
    MedDRA: Cough, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Sore throat, lots of coughing. Took a home Covid test but it was negative
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-11-24
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  42. 2023-01-12
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna
32021-11-23Moderna Flu
42022-10-13Moderna Flu

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Hard lump and sensation of cold at injection site

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Light spotting but I had my period two weeks ago

Release 8 — day 35, dose 2

2021-05-10

Symptoms: Sore throat with white mucus and very congested nose

Release 8 — day 42, dose 2

2021-05-17

Symptoms: Diagnosed with acute sinusitis

Release 9 — 3 months, dose 2

2021-07-05

Symptoms: Had a root canal
Healthcare visit (other): Dentist and endodontist

Release 10 — 6 months, dose 2

2021-10-04

Symptoms: A really bad cold!

Release 12 — day 14, dose 4

2022-10-27

Symptoms: Very sore throat and sneezing

Release 12 — day 21, dose 4

2022-11-04

Symptoms: Sore throat, lots of coughing. Took a home Covid test but it was negative

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDAcute sinusitis ✓ ✓ ✓
SDCough · · ✓
SDEndodontic procedure ✓ ✓ ✓
SDMucosal discolouration ✓ ✓ ○
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SDSputum discoloured · · ✓
SROInjection site coldness ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROIntermenstrual bleeding ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release