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XXV-33144-84142

3 vaccinations 4 coded responses 31 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
853 / AZ
Registered
2021-04-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-21
    Dose 1 — Moderna
  2. 2021-04-24
    Registered in v-safe
  3. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-28
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-05
    Survey response — 14 day, dose 1
    MedDRA: Dyspnoea — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-05-12
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-19
    Dose 2 — Moderna
  11. 2021-05-19
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-26
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-02
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-09
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-16
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-23
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-30
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-18
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-09
    Dose 3 — Moderna
  26. 2021-11-17
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-17
    Survey response — 7 day, dose 3
    MedDRA: Fatigue, Pain in extremity, Pyrexia — Feeling: Good
    MedDRA releases: 2024-11 · check-in answers available
  28. 2021-11-23
    Health check-in — 14 day, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-30
    Health check-in — 21 day, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-12-07
    Health check-in — 28 day, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-14
    Health check-in — 35 day, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-21
    Health check-in — 42 day, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-02-08
    Survey response — 3 month, dose 3
    MedDRA: Malaise, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11 · check-in answers available
  34. 2022-02-08
    Report sent to call center — 3 month, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  35. 2022-03-24
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  36. 2022-05-10
    Survey response — 6 month, dose 3
    MedDRA: Influenza like illness, Nasopharyngitis — Feeling: Fair
    MedDRA releases: 2024-11 · check-in answers available
  37. 2022-11-09
    Health check-in — 12 month, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-21Moderna
22021-05-19Moderna
32021-11-09Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-02-08 Successful
2022-03-24
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 8

Symptoms: A little difficulty breathing. However, do not think its related to vaccine, I believe its related to recently spending a few days in a higher altitude.

Release 10

Systemic reaction (other): This injection was 8 days ago; I felt fatigued and feverish the next day and arm was very sore for a few day after.

Release 11

Symptoms: Was pretty sick at the end of December. Tried to get in for a COVID test but was unable to find any within a reasonable timeframe (wait time was more than 3 days). Went to urgent care and although they were setup to do Rapid tests, they wouldnt test cut off by CDC

Symptoms: Flu-like symptoms, summer cold

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
SDDyspnoea ✓ ✓ ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDNasopharyngitis · · ✓
SDOffice visit · · ✓
SROFatigue · · ✓
SROPain in extremity · · ✓
SROPyrexia · · ✓

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