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Y62-23122-34035

3 vaccinations 4 coded responses 29 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
195 / PA
Registered
2021-04-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-28
    Registered in v-safe
  2. 2021-04-28
    Dose 1 — Moderna
  3. 2021-04-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-05-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-26
    Survey response — day 28, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I sometimes suffer from bronchitis during allergy season. I started with bronchial symptoms late Monday. No fever. I rescheduled my 2 vaccination until this has passed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Report sent to call center — day 28, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-02
    Dose 2 — Moderna
  16. 2021-06-02
    Survey response — day 0, dose 2
    MedDRA: Bronchitis, Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Got vacc 2 hrs ago. Had bronchitis between doses - was 10x worse than ever b4. Fever of 100! Usually bronchitis no problem.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-06-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  19. 2021-06-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  20. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-06-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  24. 2021-06-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-23
    Survey response — day 21, dose 2
    MedDRA: Chills — Feeling: Good
    Free text: Sometimes I get random chills. At least one day a week. But I cant be sure if it has anything to do with the vaccine or the weather. My temperature reads as normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-12-01
    Survey response — 6 months, dose 2
    MedDRA: Phantom limb syndrome — Feeling: Good
    Free text: I've got this weird phantom pain in my left leg. Can't say that it has anything to do with anything but it's only been around for maybe the last two months.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-02-12
    Dose 3 — Moderna
  32. 2022-04-27
  33. 2022-05-16
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-08-13
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2023-02-12
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-28Moderna
22021-06-02Moderna
32022-02-12Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-26 Unsuccessful

Free text

Release 8 — day 28, dose 1

2021-05-26

Symptoms: I sometimes suffer from bronchitis during allergy season. I started with bronchial symptoms late Monday. No fever. I rescheduled my 2 vaccination until this has passed.

Release 8 — day 0, dose 2

2021-06-02

Systemic reaction (other): Got vacc 2 hrs ago. Had bronchitis between doses - was 10x worse than ever b4. Fever of 100! Usually bronchitis no problem.

Release 9 — day 21, dose 2

2021-06-23

Symptoms: Sometimes I get random chills. At least one day a week. But I cant be sure if it has anything to do with the vaccine or the weather. My temperature reads as normal.

Release 10 — 6 months, dose 2

2021-12-01

Symptoms: I've got this weird phantom pain in my left leg. Can't say that it has anything to do with anything but it's only been around for maybe the last two months.

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
SDChills ✓ ✓ ✓
SDPhantom limb syndrome · · ✓
SDUnevaluable event ✓ ✓ ✓
SROBronchitis ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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