S87-15273-70245
5 vaccinations
8 coded responses
59 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 207 / MD
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
867-31952-29293
Child or adolescent in my care · Female · 2022-06-23
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
-
2021-01-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature fluctuation — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Poor thermoregulationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Dry eye — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Periodic sudden sharp headaches lasting <1 minuteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Office visit, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: URI, visited a doctor for a COVID test which was negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-27
-
2021-11-18
Dose 3 — Pfizer-BioNTech
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
-
2021-11-25
Survey response — day 7, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
-
2021-12-02
Survey response — day 14, dose 3MedDRA: Respiratory symptom, SARS-CoV-2 test negative — Feeling: GoodFree text: I experienced URI signs. I tested negative on an at-home COVID test taken on 11/25/21 and my symptoms have since resolved.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-02-17
-
2022-05-12
Call successfulDoes not wish to fill out VAERS report
- 2022-05-19
-
2022-07-05
Dose 4 — Moderna
- 2022-07-08
- 2022-07-09
- 2022-07-10
- 2022-07-11
- 2022-07-12
- 2022-07-19
- 2022-07-26
- 2022-08-02
- 2022-08-09
- 2022-08-16
-
2022-09-21
Dose 5 — ModernaCo-administered: Flu
- 2022-09-23
- 2022-09-24
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-06
- 2022-10-12
-
2022-10-19
Survey response — day 28, dose 5MedDRA: Influenza virus test negative, Productive cough, Pyrexia, Respiratory tract infection, SARS-CoV-2 test negative, Self-medication, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Respiratory infection (negative for COVID, flu, and strep) with fever that somewhat responsive to NSAIDs, sinus congestion, and a wet coughMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 35, dose 5MedDRA: Cough, Headache, Pyrexia, Respiratory tract congestion, Self-medication — Feeling: Fair · 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: Worsening cough, congestion, headache with fever requiring round-the-clock Tylenol to manageMedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — day 35, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-27
- 2022-10-28
- 2022-11-04
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
| 4 | 2022-07-05 | Moderna | No |
| 5 | 2022-09-21 | Moderna | Flu |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Poor thermoregulation
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dry eyes
Release 5 — day 21, dose 2
Symptoms: Periodic sudden sharp headaches lasting <1 minute
Release 8 — 3 months, dose 2
Symptoms: URI, visited a doctor for a COVID test which was negative
Release 10 — day 7, dose 3
Systemic reaction (other): Sore throat
Release 10 — day 14, dose 3
Symptoms: I experienced URI signs. I tested negative on an at-home COVID test taken on 11/25/21 and my symptoms have since resolved.
Release 12 — day 28, dose 5
Symptoms: Respiratory infection (negative for COVID, flu, and strep) with fever that somewhat responsive to NSAIDs, sinus congestion, and a wet cough
Release 12 — day 35, dose 5
Symptoms: Worsening cough, congestion, headache with fever requiring round-the-clock Tylenol to manage
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 | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Body temperature fluctuation | ✓ | ✓ | ✓ |
| SRO | Dry eye | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release