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WSW-12479-25952

4 vaccinations 6 coded responses 21 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
602 / IL
Registered
2021-02-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-02-10
    Registered in v-safe
  3. 2021-02-10
    Dose 2 — Moderna
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to work
    Free text: Little lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion — Feeling: Good
    Free text: Some bruising on foot noticed day 2; not sure if related but there wasnt any trauma to the area otherwise
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Contusion — Feeling: Good
    Free text: Bruising on top of left foot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-28
    Survey response — day 14, dose 2
    MedDRA: Nausea — Feeling: Good
    Free text: Some nausea, noticed with yoga and driving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Endometrial hyperplasia with cellular atypia, Uterine dilation and curettage — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Diagnosed with Atypical endometrial hyperplasia · Healthcare visit (other): Was discovered in a d & c aug 3rd
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2021-08-13
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  18. 2021-08-20
  19. 2021-08-31
  20. 2021-09-09
  21. 2021-09-09
    Call successful
    Not applicable - Accidental Reporting
  22. 2021-11-23
    Dose 3 — Moderna
  23. 2021-12-01
    Health check-in — day 7, dose 3
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  24. 2021-12-07
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  25. 2021-12-14
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  26. 2021-12-21
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  27. 2021-12-31
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-06-01
    Dose 4 — Moderna
  30. 2022-07-11
    Survey response — day 35, dose 4
    MedDRA: Diarrhoea, Headache, Pain, Pyrexia, 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 · Telehealth, virtual health, or email health consultation
    Free text: Fever congestion headache sore great body aches diarrhea
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-07-11
    Report sent to call center — day 35, dose 4
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  32. 2022-07-12
    Call successful
    Participant prefers to complete VAERS report online
  33. 2022-08-31
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-10Moderna
32021-11-23Moderna No
42022-06-01Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-08-13 Successful
2021-09-09
Not applicable - Accidental Reporting
2022-07-11 Successful
2022-07-12
Participant prefers to complete VAERS report online

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Little lightheaded

2021-02-16

Systemic reaction (other): Some bruising on foot noticed day 2; not sure if related but there wasnt any trauma to the area otherwise

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): Bruising on top of left foot

Release 4 — day 14, dose 2

2021-02-28

Symptoms: Some nausea, noticed with yoga and driving

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Diagnosed with Atypical endometrial hyperplasia
Healthcare visit (other): Was discovered in a d & c aug 3rd

Release 12 — day 35, dose 4

2022-07-11

Symptoms: Fever congestion headache sore great body aches diarrhea

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

FieldPreferred term2021-092023-042024-11
HCVOUterine dilation and curettage ✓ · ✓
SDDiarrhoea · · ✓
SDEndometrial hyperplasia with cellular atypia ✓ · ✓
SDHeadache · · ✓
SDNausea ✓ ✓ ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SROContusion ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release