U3M-45505-07048
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 240 / VA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
-
2021-01-16
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Abdominal painAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · NoneAdult check-in
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 35, dose 2MedDRA: Cough, Facial pain, Injection site pruritus, Neuralgia, Paraesthesia — Feeling: GoodFree text: Nerve pain in face. Tingly face. Itching arm at injection site still. Lingering coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-05-06
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Blood cholesterol increased, Vitamin D decreased — Feeling: GoodFree text: Low vitamin D, high cholesterolMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Abdominal pain upper, Back pain, Coccydynia — Feeling: Poor · 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: Tailbone pain, lower back pain, stomach painMedDRA releases: 2024-11 · check-in free text available
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2022-02-04
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — day 35, dose 2
Symptoms: Nerve pain in face. Tingly face. Itching arm at injection site still. Lingering cough
Release 9 — 6 months, dose 2
Symptoms: Low vitamin D, high cholesterol
Release 11 — 12 months, dose 2
Symptoms: Tailbone pain, lower back pain, stomach pain
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 | Abdominal pain upper | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Blood cholesterol increased | ✓ | · | ✓ |
| SD | Coccydynia | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Vitamin D decreased | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release