WEM-87576-67819
3 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 762 / TX
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-02-05
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Itching · DiarrheaAdult check-in
- 2021-02-14
- 2021-02-21
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2021-02-26
Dose 2 — Moderna
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2021-02-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, DiarrheaAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-07
- 2021-03-12
- 2021-03-19
- 2021-03-28
- 2021-04-11
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Random periods of lightheadednessMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-30
Dose 3 — Moderna
- 2021-10-30
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Hot flush — Feeling: Fair · Site: Pain, SwellingFree text: Hot flash type symptomMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-04
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Conjunctivitis, Pregnancy, Sinusitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infections, pink eye, and pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-03
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-02 | Successful 2022-05-03 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Insomnia
Release 9 — 6 months, dose 2
Symptoms: Random periods of lightheadedness
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Hot flash type symptom
Release 11 — 6 months, dose 3
Symptoms: Sinus infections, pink eye, and pregnancy
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 | Conjunctivitis | · | · | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release