VWC-33120-57410
4 vaccinations
6 coded responses
47 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
-
2021-04-05
Survey response — day 28, dose 1MedDRA: Headache, Pharyngeal swelling, Pyrexia, Vertigo — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: High fever, swollen throat, constant headache, vertigo, for 5 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-14
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-26
- 2021-05-04
- 2021-05-10
- 2021-05-17
- 2021-05-26
- 2021-07-12
-
2021-10-11
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-11
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-14
-
2022-01-24
Dose 3 — Moderna
-
2022-01-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-01-28
- 2022-01-29
-
2022-01-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Muscle or body aches, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-01-31
Survey response — day 7, dose 3MedDRA: Kidney infection — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: Kidney infectionMedDRA releases: 2024-11 · check-in free text available
- 2022-02-07
-
2022-02-14
Survey response — day 21, dose 3MedDRA: Cough, Nasopharyngitis, Sinus congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a coldsinus congestion and a coughMedDRA releases: 2024-11 · check-in free text available
- 2022-02-21
- 2022-02-28
- 2022-03-07
- 2022-04-25
-
2022-07-25
Survey response — 6 months, dose 3MedDRA: Fatigue, Nasopharyngitis, Nausea, Vomiting — Feeling: Good · 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 consultationFree text: First head cold, then fatigue, then nausea and vomiting, over the course of 9 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-07-25
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-07-26
- 2022-07-26
- 2022-07-26
-
2022-09-09
Dose 4 — Moderna
-
2022-09-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Itching · DiarrheaAdult check-in
- 2022-09-13
- 2022-09-14
- 2022-09-15
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
-
2023-03-10
Survey response — 6 months, dose 4MedDRA: Anosmia, Hypersomnia, Nasopharyngitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2022-01-24 | Moderna | No |
| 4 | 2022-09-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Unsuccessful | |
| 2021-10-11 | Unsuccessful | |
| 2022-07-25 | Unsuccessful |
Free text
Release 6 — day 28, dose 1
Symptoms: High fever, swollen throat, constant headache, vertigo, for 5 days
Release 10 — 6 months, dose 2
Symptoms: Pregnancy
Release 11 — day 7, dose 3
Systemic reaction (other): Kidney infection
Release 11 — day 21, dose 3
Symptoms: Had a coldsinus congestion and a cough
Release 12 — 6 months, dose 3
Symptoms: First head cold, then fatigue, then nausea and vomiting, over the course of 9 days
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 | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Kidney infection | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release