TSA-23978-38387
3 vaccinations
2 coded responses
14 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 941 / CA
- Registered
- 2021-12-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-04-15
Dose 2 — Moderna
-
2021-12-20
Dose 3 — Moderna
-
2021-12-21
Registered in v-safe
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-22
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-24
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-27
Health check-in — day 7, dose 3Feeling: Poor · Headache · Be unable to do your normal daily activitiesAdult check-in
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2022-01-03
Survey response — day 14, dose 3MedDRA: Headache, Neck pain, Pain — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Headache to side and back of head radiating down to my neck. Pain ranging from 8/10 to 10/10 and is persistentMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-06
-
2022-01-06
Call successfulParticipant prefers to complete VAERS report online
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-24
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2022-12-20
Survey response — 12 months, dose 3MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | No |
| 2 | 2021-04-15 | Moderna | No |
| 3 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 10 — day 14, dose 3
Symptoms: Headache to side and back of head radiating down to my neck. Pain ranging from 8/10 to 10/10 and is persistent
Release 12 — 12 months, dose 3
Symptoms: Headache
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 | Headache | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release