ZFU-37646-88278
5 vaccinations
16 coded responses
70 check-ins
14 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 152 / PA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Registered in v-safe
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2021-03-18
Dose 1 — Moderna
- 2021-03-18
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-20
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2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Lethargy, Somnolence — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extraordinary sleeping and lethargy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
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2021-04-20
Dose 2 — Moderna
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2021-04-20
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Itching on back for about an hour and then gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Mobility decreased, Paraesthesia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt like needles were going in and out of my back and couldnt stand for too long. It seems to have lessened at this time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
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2021-05-25
Survey response — day 35, dose 2MedDRA: Dyspnoea, Hypersensitivity, Office visit, Pre-existing disease, Wheezing — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Allergies really bad right now. Some shortness of breath and wheezing. Put on many meds for it. Never had them this bad. · Healthcare visit (other): Pulmonologist appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-01
- 2021-07-20
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2021-10-19
Survey response — 6 months, dose 2MedDRA: Asthma, Hypersensitivity, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Allergy and asthma flair. On steroids and antibiotics. Will get booster in about 2 weeks. · Healthcare visit (other): MD officeMedDRA releases: 2024-11 · check-in free text available
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2021-10-19
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-20
- 2021-10-25
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2021-10-27
Call successfulParticipant prefers to complete VAERS report online
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2021-11-02
Dose 3 — Moderna
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2021-11-02
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Photophobia, Vision blurred, Visual impairment — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Very sunny out today. Don't know if I maybe I had a migraine but both eyes became very sensitive to light and vision blurred. Looked like diamond crystals. Shut my blinds, put on sunglasses and had no stimuli. Vision back in 15 min.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
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2021-12-14
Survey response — day 42, dose 3MedDRA: Cough, Headache, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Runny nose, slight coughing, sore throat and headache. No temperature.MedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Arthralgia, Headache, Rhinorrhoea, Sinus congestion, Telemedicine — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Mid December had runny nose but with sinus congestion, terrible headaches and joint pain. Had virtual appointment w PCP and put on antibiotics but symptoms did not go away until about 1 week ago. Had PCR test 12/27 which was negative.MedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-02
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2022-02-02
Call successfulCompleted over the phone
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2022-05-05
Survey response — 6 months, dose 3MedDRA: Adverse reaction — Feeling: GoodFree text: Allergy symptoms. Will be getting my 4th booster on 5/9/2022.MedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Dose 4 — Moderna
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2022-05-09
Survey response — day 0, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Environmental allergies, ongoingMedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-11
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2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Induration — Feeling: Good · Site: Redness, SwellingFree text: Didn't notice the redness until last night. Big circular redness and the middle some hardness there.MedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Pruritus — Feeling: Good · Site: Redness, ItchingFree text: The itching may be from me watching my neighbors dog. Took med and it seems to have subsided.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-15
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-08-08
-
2022-10-17
Dose 5 — Moderna
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-22
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2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Productive cough, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Congestion, coughing up phlegm. Believe it's related to allergies and air quality action alert day. No temp. Took Covid test which was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
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2022-11-21
Survey response — day 35, dose 5MedDRA: Rhinorrhoea — Feeling: GoodFree text: Runny nose for past week. No temp. Had flu shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-28
- 2023-01-16
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2023-04-17
Survey response — 6 months, dose 5MedDRA: Cough, Dyspnoea, Emergency care, Gastrointestinal viral infection, Oral herpes, Productive cough, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-04-17
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2023-04-18
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-10-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-25 | Successful | Participant prefers to complete VAERS report online |
| 2021-10-19 | Successful 2021-10-27 |
Participant prefers to complete VAERS report online |
| 2022-02-01 | Successful 2022-02-02 |
Completed over the phone |
| 2023-04-17 | Successful 2023-04-18 |
Completed over the phone |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Extraordinary sleeping and lethargy.
Release 7 — day 0, dose 2
Systemic reaction (other): Itching on back for about an hour and then gone.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Felt like needles were going in and out of my back and couldnt stand for too long. It seems to have lessened at this time.
Release 8 — day 35, dose 2
Symptoms: Allergies really bad right now. Some shortness of breath and wheezing. Put on many meds for it. Never had them this bad.
Healthcare visit (other): Pulmonologist appointment
Release 10 — 6 months, dose 2
Symptoms: Allergy and asthma flair. On steroids and antibiotics. Will get booster in about 2 weeks.
Healthcare visit (other): MD office
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very sunny out today. Don't know if I maybe I had a migraine but both eyes became very sensitive to light and vision blurred. Looked like diamond crystals. Shut my blinds, put on sunglasses and had no stimuli. Vision back in 15 min.
Release 10 — day 42, dose 3
Symptoms: Runny nose, slight coughing, sore throat and headache. No temperature.
Release 11 — 3 months, dose 3
Symptoms: Mid December had runny nose but with sinus congestion, terrible headaches and joint pain. Had virtual appointment w PCP and put on antibiotics but symptoms did not go away until about 1 week ago. Had PCR test 12/27 which was negative.
Release 11 — 6 months, dose 3
Symptoms: Allergy symptoms. Will be getting my 4th booster on 5/9/2022.
Release 11 — day 0, dose 4
Systemic reaction (other): Environmental allergies, ongoing
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Didn't notice the redness until last night. Big circular redness and the middle some hardness there.
Systemic reaction (other): The itching may be from me watching my neighbors dog. Took med and it seems to have subsided.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Congestion, coughing up phlegm. Believe it's related to allergies and air quality action alert day. No temp. Took Covid test which was negative.
Release 12 — day 35, dose 5
Symptoms: Runny nose for past week. No temp. Had flu shot.
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Telemedicine | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vision blurred | · | · | ✓ |
| SRO | Visual impairment | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release