TWG-26193-51629
4 vaccinations
7 coded responses
26 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 115 / NY
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-02-09
Dose 2 — Moderna
-
2021-03-25
Registered in v-safe
- 2021-03-25
- 2021-05-11
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Bacterial vaginosis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bacterial vaginosisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-12
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
- 2021-11-13
- 2021-11-14
- 2021-11-15
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Nasal discharge and congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea — Feeling: FairFree text: Nasal discharge and congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea — Feeling: GoodFree text: Nasal discharge and congestionMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 7, dose 3MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
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2021-12-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
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2022-05-13
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, 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: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-16
Call successfulParticipant prefers to complete VAERS report online
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2022-09-22
Dose 4 — Moderna
- 2022-10-03
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2022-10-06
Survey response — day 14, dose 4MedDRA: Rash — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Rash, cause unknown, biopsy pendingMedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-10-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Call center
3 call center cases
3 successful
Free text
Release 9 — 6 months, dose 2
Symptoms: Bacterial vaginosis
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Nasal discharge and congestion
Systemic reaction (other): Nasal discharge and congestion
Systemic reaction (other): Nasal discharge and congestion
Release 10 — day 7, dose 3
Systemic reaction (other): Nasal congestion
Release 11 — 6 months, dose 3
Symptoms: Covid
Release 12 — day 14, dose 4
Symptoms: Rash, cause unknown, biopsy pending
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 | Bacterial vaginosis | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release