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XSS-20553-97063

3 vaccinations 2 coded responses 26 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
026 / MA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-22
    Dose 2 — Moderna
  3. 2021-02-25
    Registered in v-safe
  4. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-12
    Dose 3 — Moderna
  15. 2021-11-12
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  16. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  17. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache
    Adult check-in
  19. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-19
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-26
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-03
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-12-10
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-17
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-12-24
    Survey response — day 42, dose 3
    MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Severe cold like symptoms including cough headache stuffy and runny nose chest congestion - no fever
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-24
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  29. 2021-12-30
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  30. 2022-02-11
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-11-12
    Survey response — 12 months, dose 3
    MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint and muscle pain
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna
32021-11-12Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-12-24 Successful
2021-12-30
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 10 — day 42, dose 3

2021-12-24

Symptoms: Severe cold like symptoms including cough headache stuffy and runny nose chest congestion - no fever

Release 12 — 12 months, dose 3

2022-11-12

Symptoms: Joint and muscle pain

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
SDArthralgia · · ✓
SDCough · · ✓
SDHeadache · · ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓

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