Y2B-36342-73260
4 vaccinations
7 coded responses
53 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 307 / GA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
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2021-01-14
Survey response — day 0, dose 1MedDRA: Fatigue, Pyrexia — Feeling: Good · Site: Pain · Fever · NauseaFree text: Re. fever, I felt only slightly feverish. Not even enough to check my temp and could even simply be due to being tired today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · NoneAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
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2021-01-28
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Right after my last check in my injection site area was red, slightly swollen, and itchy for several days. That has resolved and I havent experienced any other symptoms or problems.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-10
Dose 2 — Moderna
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2021-02-10
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · ChillsAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Impaired work ability, Pain, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fever 103 all night. Fever 102 today. Now down to 101. Splitting headache. Body aches. Etc. Couldnt work today and I never miss work.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · HeadacheFree text: Congestion - might not be vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-14
- 2021-08-11
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2021-11-05
Dose 3 — Moderna
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2021-11-05
Health check-in — day 0, dose 3Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Peripheral swelling — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Some swelling in handsMedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
-
2022-09-07
Dose 4 — Moderna
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2022-09-07
Survey response — day 0, dose 4MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Itching · FeverFree text: Feel just a little feverish.MedDRA releases: 2024-11 · check-in free text available
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2022-09-08
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Itching · NoneAdult check-in
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2022-09-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2022-09-11
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2022-09-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2022-09-16
- 2022-09-21
- 2022-09-28
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2022-10-05
Survey response — day 28, dose 4MedDRA: Cough, Fatigue, Headache, Heart rate increased, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, headache, congestion, cough, body aches, fatigue, elevated heart rate, etc. · Healthcare visit (other): Sought Covid-19 PCR testMedDRA releases: 2024-11 · check-in free text available
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2022-10-05
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-10-06
Call successfulCompleted over the phone
- 2022-10-12
- 2022-10-20
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-09-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-05 | Successful 2022-10-06 |
Completed over the phone |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Re. fever, I felt only slightly feverish. Not even enough to check my temp and could even simply be due to being tired today.
Release 3 — day 14, dose 1
Symptoms: Right after my last check in my injection site area was red, slightly swollen, and itchy for several days. That has resolved and I havent experienced any other symptoms or problems.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Fever 103 all night. Fever 102 today. Now down to 101. Splitting headache. Body aches. Etc. Couldnt work today and I never miss work.
Systemic reaction (other): Congestion - might not be vaccine related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some swelling in hands
Release 12 — day 0, dose 4
Systemic reaction (other): Feel just a little feverish.
Release 12 — day 28, dose 4
Symptoms: Fever, headache, congestion, cough, body aches, fatigue, elevated heart rate, etc.
Healthcare visit (other): Sought Covid-19 PCR test
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 | SARS-CoV-2 test | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release