ZSP-38569-97347
4 vaccinations
7 coded responses
23 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 193 / PA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-13
- 2021-01-21
-
2021-01-27
Survey response — day 21, dose 1MedDRA: Back pain, Myalgia — Feeling: GoodFree text: Lower back ache. Lumbar Lara spinal Muscle aches for no reason. I never have had back problems. But the muscle aches resolved after about 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Dose 2 — Moderna
-
2021-02-10
Survey response — day 7, dose 2MedDRA: Dizziness, Fatigue, Nasal congestion — Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activitiesFree text: Stuffed up nose, fatigue and feel a little dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-25
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2021-03-03
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I wake up with a bad headache every morning since I got the 2 nd dose. I have no other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-19
- 2021-05-05
- 2021-08-04
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2021-09-09
Dose 3 — Pfizer-BioNTech
- 2022-02-03
-
2022-05-05
Dose 4 — Moderna
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2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Very swollen axillary lymph nodes on the side I received the injectionMedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, SwellingFree text: Swollen axillary lymph nodes under the arm that received injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-05-12
- 2022-05-19
- 2022-06-02
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2022-06-09
Survey response — day 35, dose 4MedDRA: SARS-CoV-2 test negative, SARS-CoV-2 test positive — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Positive for COVID. Symptoms started June 3 and after one home test and one molecular test where both negative I tested positive on June 6MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-10
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2022-06-10
Call successfulParticipant prefers to complete VAERS report online
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2022-06-16
Survey response — day 42, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Positive for Covid on June 6MedDRA releases: 2024-11 · check-in free text available
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2022-06-16
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-17
- 2022-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-09-09 | Pfizer-BioNTech | No |
| 4 | 2022-05-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-06-09 | Successful 2022-06-10 |
Participant prefers to complete VAERS report online |
| 2022-06-16 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Lower back ache. Lumbar Lara spinal Muscle aches for no reason. I never have had back problems. But the muscle aches resolved after about 3 days.
Release 4 — day 7, dose 2
Systemic reaction (other): Stuffed up nose, fatigue and feel a little dizzy
Release 4 — day 28, dose 2
Symptoms: I wake up with a bad headache every morning since I got the 2 nd dose. I have no other symptoms.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very swollen axillary lymph nodes on the side I received the injection
Systemic reaction (other): Swollen axillary lymph nodes under the arm that received injection
Release 12 — day 35, dose 4
Symptoms: Positive for COVID. Symptoms started June 3 and after one home test and one molecular test where both negative I tested positive on June 6
Release 12 — day 42, dose 4
Symptoms: Positive for Covid on June 6
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 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release