V2H-15181-53209
3 vaccinations
10 coded responses
39 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 852 / AZ
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-26
Dose 1 — Moderna
-
2021-04-27
Registered in v-safe
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
-
2021-05-24
Dose 2 — Moderna
- 2021-05-24
- 2021-05-24
-
2021-05-25
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 · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Allodynia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: AllodyniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-05-30
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-07-05
- 2021-08-23
- 2021-11-22
-
2022-02-07
Dose 3 — Moderna
-
2022-02-09
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-10
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Joint painsFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-11
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Survey response — day 7, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodesMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
- 2022-02-28
- 2022-03-07
- 2022-03-14
-
2022-03-21
Survey response — day 42, dose 3MedDRA: Dysphagia, Fatigue, Oropharyngeal pain, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, difficulty swallowing, fever, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-03-21
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-03-23
Call successfulDoes not wish to fill out VAERS report
- 2022-05-09
-
2022-08-08
Survey response — 6 months, dose 3MedDRA: Headache, Nausea, Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Vertigo, headaches, nauseaMedDRA releases: 2024-11 · check-in free text available
-
2022-08-08
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-08-09
Call successfulNot applicable - Accidental Reporting
-
2023-02-07
Survey response — 12 months, dose 3MedDRA: Hypothyroidism — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-07
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-26 | Moderna | |
| 2 | 2021-05-24 | Moderna | |
| 3 | 2022-02-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-21 | Successful 2022-03-23 |
Does not wish to fill out VAERS report |
| 2022-08-08 | Successful 2022-08-09 |
Not applicable - Accidental Reporting |
| 2023-02-07 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Allodynia
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Systemic reaction (other): Swollen lymph nodes
Release 11 — day 7, dose 3
Systemic reaction (other): Swollen lymph nodes
Release 11 — day 42, dose 3
Symptoms: Sore throat, difficulty swallowing, fever, fatigue
Release 12 — 6 months, dose 3
Symptoms: Vertigo, headaches, 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 | Dysphagia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypothyroidism | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Allodynia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release