UA8-11945-88769
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 337 / FL
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-02-16
Registered in v-safe
-
2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Exposure to SARS-CoV-2, Oropharyngeal pain — Feeling: Fair · HeadacheFree text: Sore throat. Confirmed exposure to covid on 2/18MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — day 7, dose 1MedDRA: Exposure to SARS-CoV-2 — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Exposed to covid 2/18MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-24
- 2021-03-29
- 2021-04-05
-
2021-04-12
Survey response — day 28, dose 2MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea, Sinusitis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Cough, runny nose, sore throat, headache, sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-06-14
-
2021-09-13
Survey response — 6 months, dose 2MedDRA: Herpes zoster, Pregnancy, SARS-CoV-2 test negative, Upper respiratory tract infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I experienced shingles and an upper respiratory infection (not covid - rapid and PCR test both negative). I am now also pregnant.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-15
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat. Confirmed exposure to covid on 2/18
Release 4 — day 7, dose 1
Systemic reaction (other): Exposed to covid 2/18
Release 7 — day 28, dose 2
Symptoms: Cough, runny nose, sore throat, headache, sinus infection
Release 9 — 6 months, dose 2
Symptoms: I experienced shingles and an upper respiratory infection (not covid - rapid and PCR test both negative). I am now also pregnant.
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 | Herpes zoster | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release