STG-15816-79057
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-11
- 2021-01-12
-
2021-01-19
Survey response — day 14, dose 1MedDRA: Eye pruritus, Eye swelling, Injection site erythema, Injection site pruritus, Lower respiratory tract congestion, Upper respiratory tract congestion — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sudden arm redness and itchiness at injection site, swollen eye, itchy eyes, intense allergy symptoms, upper and lower respiratory congestion. Already reported to vaers!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-20
-
2021-04-18
Dose 2 — Moderna
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: Good · Site: Redness, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Low appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-24
- 2021-04-25
- 2021-05-02
-
2021-05-09
Survey response — day 21, dose 2MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraines - 3 in last weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-10-17
-
2022-04-18
Survey response — 12 months, dose 2MedDRA: Cough, Diarrhoea, Fatigue, Nausea, Pyrexia, Respiratory tract congestion, Sneezing — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Congestion, sneezing, coughing, fever, diarrhea fatigue, nauseaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-04-18 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: Sudden arm redness and itchiness at injection site, swollen eye, itchy eyes, intense allergy symptoms, upper and lower respiratory congestion. Already reported to vaers!!!
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Low appetite
Release 8 — day 21, dose 2
Symptoms: Migraines - 3 in last week
Release 11 — 12 months, dose 2
Symptoms: Congestion, sneezing, coughing, fever, diarrhea fatigue, nausea
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 | Diarrhoea | · | · | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Eye swelling | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Upper respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release