WLJ-36461-56501
4 vaccinations
5 coded responses
39 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 101 / NY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-21
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-05-12
Survey response — 3 months, dose 2MedDRA: Burning sensation, Hypoaesthesia, Paraesthesia — Feeling: Poor · 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: Tingling, burning, numbness in extremities.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-12
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-11
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Fatigue, Fibromyalgia, Gastrointestinal bacterial overgrowth, Hypoaesthesia, Pain, Paraesthesia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fibromyalgia (fatigue, pain, numbness, tingling)SIBO (diarrhea)MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-28
Dose 3 — Moderna
- 2021-11-05
- 2021-11-13
- 2021-11-25
- 2021-12-02
-
2021-12-09
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, 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: Cough, sore throat, congestion, exhaustionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Report sent to call center — day 42, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-12-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-27
- 2022-04-28
-
2022-09-21
Dose 4 — Moderna
-
2022-10-15
Survey response — day 21, dose 4MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, chills, achesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
-
2023-03-22
Survey response — 6 months, dose 4MedDRA: Pregnancy — 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 consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 4Be 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 · 1 call case(s)
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-09-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-12 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-12-09 | Successful 2021-12-10 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2023-03-22 | Unsuccessful |
Free text
Release 8 — 3 months, dose 2
Symptoms: Tingling, burning, numbness in extremities.
Release 9 — 6 months, dose 2
Symptoms: Fibromyalgia (fatigue, pain, numbness, tingling)SIBO (diarrhea)
Release 10 — day 42, dose 3
Symptoms: Cough, sore throat, congestion, exhaustion
Release 12 — day 21, dose 4
Symptoms: Fever, chills, aches
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Fibromyalgia | ✓ | · | ✓ |
| SD | Gastrointestinal bacterial overgrowth | ✓ | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release