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V8M-14179-19803

3 vaccinations 5 coded responses 15 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
840 / UT
Registered
2021-12-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Dose 1 — Pfizer-BioNTech
  2. 2021-03-22
    Dose 2 — Pfizer-BioNTech
  3. 2021-12-17
    Registered in v-safe
  4. 2021-12-17
    Dose 3 — Moderna
  5. 2021-12-17
    Survey response — day 0, dose 3
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Arm is really sore where I got the shot.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-12-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-12-19
    Survey response — days 1–6 daily, dose 3
    MedDRA: Night sweats — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Severe night sweats
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-12-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  10. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-12-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  12. 2021-12-31
    Survey response — day 14, dose 3
    MedDRA: Cough, Fatigue, Nasopharyngitis, Night sweats, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Cold symptoms (tested negative for COVID) of congestion, runny nose, cough, fatigue, mild fever, night sweats, cough, sore throat
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-12-31
    Report sent to call center — day 14, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  14. 2022-01-05
    Call successful
    Participant prefers to complete VAERS report online
  15. 2022-01-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-14
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-01-21
    Survey response — day 35, dose 3
    MedDRA: Cough, Delivery, Stress — Feeling: Good
    Free text: Cough - likely due to stress, however, because I just gave birth on 1/16/22 to my baby
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-01-28
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  19. 2022-03-18
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  20. 2022-06-17
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-12-17
    Survey response — 12 months, dose 3
    MedDRA: Anxiety, COVID-19, Contusion, Laboratory test abnormal, Liver disorder — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Easy bruising, some slightly abnormal tests related to my liver for unexplainable reasons, anxiety from unexplained bruising, COVID
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-12-17
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  23. 2022-12-21

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Pfizer-BioNTech No
22021-03-22Pfizer-BioNTech No
32021-12-17Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-31 Successful
2022-01-05
Participant prefers to complete VAERS report online
2022-12-17 Unsuccessful

Free text

Release 10 — day 0, dose 3

2021-12-17

Systemic reaction (other): Arm is really sore where I got the shot.

Release 10 — days 1–6 daily, dose 3

2021-12-19

Systemic reaction (other): Severe night sweats

Release 10 — day 14, dose 3

2021-12-31

Symptoms: Cold symptoms (tested negative for COVID) of congestion, runny nose, cough, fatigue, mild fever, night sweats, cough, sore throat

Release 11 — day 35, dose 3

2022-01-21

Symptoms: Cough - likely due to stress, however, because I just gave birth on 1/16/22 to my baby

Release 12 — 12 months, dose 3

2022-12-17

Symptoms: Easy bruising, some slightly abnormal tests related to my liver for unexplainable reasons, anxiety from unexplained bruising, COVID

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

FieldPreferred term2021-092023-042024-11
SDAnxiety · · ✓
SDContusion · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDelivery · · ✓
SDFatigue · · ✓
SDLaboratory test abnormal · · ✓
SDLiver disorder · · ✓
SDNasopharyngitis · · ✓
SDNight sweats · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDStress · · ✓
SRONight sweats · · ✓
SROPain in extremity · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release