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YR5-23994-72380

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
580 / ND
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-31
    Survey response — day 21, dose 1
    MedDRA: Constipation — Feeling: Good
    Free text: Constipation worse than ever in my life but my life is also busy and I started a higher dose of ADD med. I feel very strongly that this is not vaccine related, but I cannot be 100% sure.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Dose 2 — Moderna
  11. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-19
    Survey response — day 42, dose 2
    MedDRA: Dehydration, Headache, Nasopharyngitis, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Horrible cold I cant shake. Started with sniffles and within a day, had a fever and felt/sounded horrible. Still do. Day 4 of headache...thinking I'm dehyrated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-04-07
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Fatigue, Headache, Nasopharyngitis, Nausea, Pain, Productive cough, Pyrexia, Respiratory tract congestion — Feeling: Good · 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 visit
    Free text: Had covid...headache day 1, extreme fatigue and nausea w fever day 2, horrible aches and pains and fever day 3 & part of 4. Cold symptoms with loose congestion & productive cough started day 4. Had the infusion on day 4. Headache & fatigue next full
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-04-07
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-04-15
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-04-07 Successful
2022-04-15
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill

Free text

Release 6 — day 21, dose 1

2021-03-31

Symptoms: Constipation worse than ever in my life but my life is also busy and I started a higher dose of ADD med. I feel very strongly that this is not vaccine related, but I cannot be 100% sure.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Horrible cold I cant shake. Started with sniffles and within a day, had a fever and felt/sounded horrible. Still do. Day 4 of headache...thinking I'm dehyrated.

Release 11 — 12 months, dose 2

2022-04-07

Symptoms: Had covid...headache day 1, extreme fatigue and nausea w fever day 2, horrible aches and pains and fever day 3 & part of 4. Cold symptoms with loose congestion & productive cough started day 4. Had the infusion on day 4. Headache & fatigue next full cut off by CDC

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 ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDehydration ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea · · ✓
SDPain · · ✓
SDProductive cough · · ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea ✓ ✓ ✓

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