VRP-24667-29329
4 vaccinations
1 coded response
40 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 142 / NY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
EXK-69550-38755
Child or adolescent in my care · Female · 2022-07-01
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-02-06
-
2021-02-11
Dose 2 — Moderna
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, NauseaAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-25
- 2021-05-13
-
2021-11-24
Dose 3 — Moderna
-
2021-11-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
- 2022-05-25
-
2022-10-20
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-22
- 2022-10-23
- 2022-10-24
- 2022-10-25
- 2022-10-27
- 2022-11-03
- 2022-11-10
-
2022-11-17
Survey response — day 28, dose 4MedDRA: Cough, Ear infection, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sinusitis — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat, runny nose, cough, congestion, sinus infection, ear infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Report sent to call center — day 28, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-11-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-11-24
- 2022-12-01
- 2023-01-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-10-20 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-17 | Successful 2022-11-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 12 — day 28, dose 4
Symptoms: Sore throat, runny nose, cough, congestion, sinus infection, ear infection
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 | Ear infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release