VST-12530-34204
3 vaccinations
5 coded responses
26 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 194 / PA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
-
2021-02-09
Survey response — day 0, dose 1MedDRA: Headache, Pre-existing disease — Feeling: GoodFree text: Ive had a headache today prior to vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site joint pain, Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle ache and point tenderness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-25
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: SwellingFree text: Soreness at injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-06-08
Survey response — 3 months, dose 2MedDRA: Lower respiratory tract infection, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest cold and tinnitus in right ear.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-11
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Ear congestion, Ear discomfort, Tinnitus — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Ringing in ears and congestion/fullness in left ear.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-11
-
2021-11-16
Dose 3 — Moderna
- 2022-03-09
- 2022-05-18
- 2022-11-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-08 | Unsuccessful | |
| 2021-09-07 | Unsuccessful |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Ive had a headache today prior to vaccination.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle ache and point tenderness at injection site.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness at injection site.
Release 8 — 3 months, dose 2
Symptoms: Chest cold and tinnitus in right ear.
Release 9 — 6 months, dose 2
Symptoms: Ringing in ears and congestion/fullness in left ear.
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 | Ear congestion | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Lower respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site joint pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release