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Y5F-17214-37476

5 vaccinations 9 coded responses 48 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
525 / IA
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  4. 2021-03-12
    Survey response — day 14, dose 1
    MedDRA: Constipation, Initial insomnia — Feeling: Good
    Free text: Since my first shot, I am waking early and not able to fall back asleep, as Ive done for many months, so not getting enough sleep. Also, tendency towards constipation since the shot, with no other changes to explain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-26
    Dose 2 — Moderna
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  9. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  11. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal distension, Diarrhoea — Feeling: Good · Site: Pain, Itching · Diarrhea
    Free text: Diarrhea has been last 3-4 days, but just reporting it. Bloating as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal distension — Feeling: Good · Diarrhea
    Free text: Bloating, mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-09
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Mild but continuing diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-01
    Dose 3 — Moderna
  22. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  23. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Respiratory tract congestion — Feeling: Good · Muscle or body aches, Abdominal pain
    Free text: Coughing, some congestion
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-04
    Survey response — days 1–6 daily, dose 3
    MedDRA: Abdominal discomfort, Flatulence — Feeling: Fair · Fatigue or tiredness
    Free text: GI upset and gas
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  26. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  27. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-16
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-11-22
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-29
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-06
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-13
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-05-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-05-20
    Dose 4 — Moderna
  36. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  37. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Constipation — Feeling: Good
    Free text: Constipated but not worried
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  41. 2022-05-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  42. 2022-06-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-06-11
    Survey response — day 21, dose 4
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Prior to my last check-in, I neglected to mention daily diarrhea. It seems to be resolved at this point but I am watching for it.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-06-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-06-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-07-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-19
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-09-23
    Dose 5 — Moderna
  49. 2022-10-15
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-10-21
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-10-30
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  52. 2022-11-04
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  53. 2022-12-24
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  54. 2023-03-26
    Survey response — 6 months, dose 5
    MedDRA: Restless legs syndrome — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  55. 2023-03-26
    Report sent to call center — 6 months, dose 5
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  56. 2023-03-27

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna
32021-11-01Moderna No
42022-05-20Moderna No
52022-09-23Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2023-03-26 Unsuccessful

Free text

Release 5 — day 14, dose 1

2021-03-12

Symptoms: Since my first shot, I am waking early and not able to fall back asleep, as Ive done for many months, so not getting enough sleep. Also, tendency towards constipation since the shot, with no other changes to explain.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Diarrhea has been last 3-4 days, but just reporting it. Bloating as well.

2021-04-01

Systemic reaction (other): Bloating, mild

Release 7 — day 14, dose 2

2021-04-09

Symptoms: Mild but continuing diarrhea

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): Coughing, some congestion

2021-11-04

Systemic reaction (other): GI upset and gas

Release 11 — days 1–6 daily, dose 4

2022-05-24

Systemic reaction (other): Constipated but not worried

Release 12 — day 21, dose 4

2022-06-11

Symptoms: Prior to my last check-in, I neglected to mention daily diarrhea. It seems to be resolved at this point but I am watching for it.

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
SDConstipation ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDInitial insomnia ✓ ✓ ✓
SDRestless legs syndrome · · ✓
SROAbdominal discomfort · · ✓
SROAbdominal distension ✓ ✓ ✓
SROConstipation · · ✓
SROCough · · ✓
SRODiarrhoea ✓ ✓ ✓
SROFlatulence · · ✓
SRORespiratory tract congestion · · ✓

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

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