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XXE-87137-18197

3 vaccinations 6 coded responses 23 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
493 / MI
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-03-18
    Registered in v-safe
  3. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains
    Adult check-in
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Back pain — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  8. 2021-03-23
    Survey response — 7 day, dose 1
    MedDRA: Arthralgia, Colitis, Irritable bowel syndrome, Psoriatic arthropathy — Feeling: Good · Joint pains, Abdominal pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-03-30
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-06
    Survey response — 21 day, dose 1
    MedDRA: Cough — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-04-13
    Dose 2 — Moderna
  12. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  13. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains
    Adult check-in
  14. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-20
    Health check-in — 7 day, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-27
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-04
    Health check-in — 21 day, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-05-11
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-18
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-25
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-14
    Health check-in — 3 month, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-10-12
    Survey response — 6 month, dose 2
    MedDRA: Malaise, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · 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 visit
    MedDRA releases: 2024-11 · check-in answers available
  25. 2021-10-12
    Report sent to call center — 6 month, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2021-10-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  27. 2021-11-09
    Dose 3 — Moderna
  28. 2022-04-13
    Survey response — 12 month, dose 2
    MedDRA: Arthralgia, Inflammation, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional
    MedDRA releases: 2024-11 · check-in answers available
  29. 2022-04-13
    Report sent to call center — 12 month, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2022-04-14
  31. 2022-04-15
  32. 2022-04-15
    Call successful
    Participant prefers to complete VAERS report online
  33. 2022-11-09
    Health check-in — 12 month, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna
32021-11-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-10-12 Successful
2021-10-18
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2022-04-13 Successful
2022-04-15
Participant prefers to complete VAERS report online

Free text

Release 6

Systemic reaction (other): I've had a back ache and joint pain a little worse then normal but have been walking and cleaning the yard. So think that is it

Systemic reaction (other): Just the joint pains but think it's my IBS/Colitis and psoriatic arthritis they haven't bothered me in a while so not sure if vaccine has anything to do with it I'm hoping not because don't want a second vaccine to really flare it up.

Release 7

Symptoms: I aspirated a cracker so hope it's just that but have developed a cough

Systemic reaction (other): I got the vaccine Tuesday and Wednesday I had a fever 102 and felt worst then today. Thought maybe it's because I'm on a antibiotic for a bladder/kidney infection

Release 10

Symptoms: I got sick with a virus but tested negative for Covid.

Release 11

Symptoms: Hip joint pain and big toe inflammation
Healthcare visit (other): I seen a podiatrist

Free-text releases are not linked to a specific 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
HCVOOffice visit · · ✓
SDArthralgia · · ✓
SDCough ✓ ✓ ✓
SDInflammation · · ✓
SDMalaise · · ✓
SDSARS-CoV-2 test negative · · ✓
SDViral infection · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROColitis ✓ ✓ ✓
SROIrritable bowel syndrome ✓ ✓ ✓
SROPsoriatic arthropathy ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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