XEM-82822-84809
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 088 / NJ
- Registered
- 2020-12-27
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
-
2020-12-27
Registered in v-safe
-
2020-12-27
Dose 1 — Moderna
-
2020-12-27
Survey response — day 0, dose 1MedDRA: Anxiety, Injection site pain — Feeling: GoodFree text: Slight Injection site soreness. AnxiousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
-
2021-01-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Muscle or body achesAdult check-in
- 2021-01-02
-
2021-01-03
Survey response — day 7, dose 1MedDRA: Exposure to SARS-CoV-2 — Feeling: GoodFree text: Had direct exposure to COVID (+) 2 days ago without PPEMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — day 14, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to workFree text: Got COVID about 6 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-10
-
2021-01-17
Survey response — day 21, dose 1MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Covid positiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-24
Dose 2 — Moderna
- 2021-01-31
-
2021-02-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-02-07
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-04-27
Survey response — 3 months, dose 2MedDRA: Delivery — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: Had my baby on (b)(6) · Healthcare visit (other): Birth of childMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-30
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-27 | Moderna | |
| 2 | 2021-01-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-10 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-01-17 | Successful 2021-02-06 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-04-27 | Successful 2021-04-30 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Slight Injection site soreness. Anxious
Release 1 — day 7, dose 1
Systemic reaction (other): Had direct exposure to COVID (+) 2 days ago without PPE
Release 1 — day 14, dose 1
Symptoms: Got COVID about 6 days ago.
Release 2 — day 21, dose 1
Symptoms: Covid positive
Release 8 — 3 months, dose 2
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 | Delivery | ✓ | ✓ | ✓ |
| SD | COVID-19 | ✓ | ✓ | ✓ |
| SD | Delivery | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release