WLP-34023-56590
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 346 / FL
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
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2020-12-22
Dose 1 — Moderna
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2020-12-22
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-23
- 2020-12-24
- 2020-12-25
- 2020-12-27
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2020-12-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, NauseaAdult check-in
- 2020-12-29
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2021-01-06
Survey response — day 14, dose 1MedDRA: Chills, Cough, Headache, Malaise, Myalgia, Nausea, SARS-CoV-2 test positive — Feeling: Good · 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: Covid positive on 01/02/21. Started feeling sick with symptoms on 12/29/20. Headache, muscle aches, chills, nausea, cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-06
Report sent to call center — day 14, 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)
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2021-01-18
Dose 2 — Moderna
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2021-01-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
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2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
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2021-01-26
Survey response — day 7, dose 2MedDRA: Decreased appetite — Feeling: GoodFree text: Loss of appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-10
Survey response — day 21, dose 2MedDRA: Chills, Fatigue, Pain, Vomiting — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I think I have the stomach flu. Vomiting chills body aches fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-15
- 2021-03-03
- 2021-04-21
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2021-07-19
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous, Sinus arrhythmia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Shingles in May 2021, miscarriage July 2021MedDRA releases: 2024-11 · check-in free text available
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2021-07-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-21
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2022-01-20
Survey response — 12 months, dose 2MedDRA: Abortion spontaneous, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Miscarriage in October, retained products and needed a D&C in January · Healthcare visit (other): Outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-06 | Unsuccessful | |
| 2021-07-19 | Unsuccessful | |
| 2022-01-20 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Dizziness
Release 1 — day 14, dose 1
Symptoms: Covid positive on 01/02/21. Started feeling sick with symptoms on 12/29/20. Headache, muscle aches, chills, nausea, cough.
Release 2 — day 7, dose 2
Systemic reaction (other): Loss of appetite
Release 4 — day 21, dose 2
Symptoms: I think I have the stomach flu. Vomiting chills body aches fatigue.
Release 9 — 6 months, dose 2
Symptoms: Shingles in May 2021, miscarriage July 2021
Release 10 — 12 months, dose 2
Symptoms: Miscarriage in October, retained products and needed a D&C in January
Healthcare visit (other): Outpatient surgery
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 |
|---|---|---|---|---|
| HCVO | Surgery | · | · | ✓ |
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SD | Sinus arrhythmia | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release