Y3K-29571-38332
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 658 / MO
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
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2021-01-29
Survey response — day 0, dose 1MedDRA: Chest discomfort, Paraesthesia — Feeling: Fair · HeadacheFree text: Chest tightness, tingling cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Joint pains, Muscle or body achesAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-12
Survey response — day 14, dose 1MedDRA: Gastroenteritis viral — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Stomach virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
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2021-04-02
Survey response — day 35, dose 2MedDRA: Nasopharyngitis, Sinusitis — Feeling: FairFree text: Sinus infection/cold symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-05-28
- 2021-08-27
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2021-11-18
Dose 3 — Moderna
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2022-02-26
Survey response — 12 months, dose 2MedDRA: COVID-19, Gastroenteritis — Feeling: Poor · 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 visitFree text: COVID mid Jan. Gastroenteritis twice since thenMedDRA releases: 2024-11 · check-in free text available
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2022-02-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-18
- 2022-05-21
-
2022-09-22
Dose 4 — ModernaCo-administered: Flu
- 2022-10-08
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2022-10-13
Survey response — day 21, dose 4MedDRA: Cough, Nasopharyngitis, Sinus disorder — Feeling: FairFree text: Sinus issues plus a cough. Not severe tested negative feels like a coldMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
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2022-10-27
Survey response — day 35, dose 4MedDRA: COVID-19, Cough, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I've had a recurring cough since I had Covid in January 2022 and it is becoming an issue again the last week however it doesn't seem to be related to any type of infection. No other symptoms · Healthcare visit (other): I communicate with my doctor for small issues via email through my mercy.netMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-28
- 2022-10-28
- 2022-11-03
- 2022-12-22
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-09-22 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Unsuccessful | |
| 2022-10-27 | Unsuccessful |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Chest tightness, tingling cheeks
Release 4 — day 14, dose 1
Symptoms: Stomach virus
Release 6 — day 35, dose 2
Symptoms: Sinus infection/cold symptoms
Release 11 — 12 months, dose 2
Symptoms: COVID mid Jan. Gastroenteritis twice since then
Release 12 — day 21, dose 4
Symptoms: Sinus issues plus a cough. Not severe tested negative feels like a cold
Release 12 — day 35, dose 4
Symptoms: I've had a recurring cough since I had Covid in January 2022 and it is becoming an issue again the last week however it doesn't seem to be related to any type of infection. No other symptoms
Healthcare visit (other): I communicate with my doctor for small issues via email through my mercy.net
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 | Medical counselling | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release