VE9-87002-99327
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
MNW-49736-44623
Child or adolescent in my care · Female · 2021-11-08
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-28
Dose 2 — Moderna
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-05
- 2021-05-12
- 2021-05-28
-
2021-06-09
Survey response — day 42, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Worsening of chronic issues (fatigue, dysautonomia, myasthenia gravis). I think it is due to the heat where I live, not the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-30
- 2021-10-27
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Worsening of autoimmune disease (after 4th COVID vaccine)MedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
-
2022-04-29
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Successful 2022-04-29 |
Participant prefers to complete VAERS report online |
Free text
Release 9 — day 42, dose 2
Symptoms: Worsening of chronic issues (fatigue, dysautonomia, myasthenia gravis). I think it is due to the heat where I live, not the vaccine.
Release 11 — 12 months, dose 2
Symptoms: Worsening of autoimmune disease (after 4th COVID vaccine)
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 | Condition aggravated | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release