26G-32072-79980
3 vaccinations
19 coded responses
35 check-ins
18 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 287 / NC
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Moderna
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2021-02-09
Registered in v-safe
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Mild less dizziness than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 7, dose 1MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tirednessFree text: Still bit dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — day 14, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-08
Dose 2 — Moderna
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2021-03-08
Survey response — day 0, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Fever · HeadacheFree text: Shortness of breath after injection may be smoke in town from brush burning;nurse had me use inhalerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, NauseaFree text: TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, NauseaAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Abdominal painAdult check-in
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2021-03-15
Survey response — day 7, dose 2MedDRA: Pain in extremity — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Pain in legMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-29
Survey response — day 21, dose 2MedDRA: Dizziness, Insomnia, Myalgia, Vertigo — Feeling: FairFree text: Occasional vertigo or dizziness, insomnia, muscle aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-12
Survey response — day 35, dose 2MedDRA: Axillary mass — Feeling: FairFree text: Lump under side of calfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-06-07
Survey response — 3 months, dose 2MedDRA: Vision blurred — Feeling: GoodFree text: Just vision is blurrier may not be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-06
- 2022-03-14
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2022-05-19
Dose 3 — Moderna
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2022-05-19
Survey response — day 0, dose 3MedDRA: Headache, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in neck with frontal headache worseningMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Lymph node pain, Neck pain, Pain in extremity — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Neck pain, arm of injection pain red & sore lymph nodes under armMedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Survey response — days 1–6 daily, dose 3MedDRA: Vitreous floaters — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness, DiarrheaFree text: Had floaters in eyes yesterday morning fewer nowMedDRA releases: 2024-11 · check-in free text available
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2022-05-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2022-05-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
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2022-05-23
Report sent to call center — days 1–6 daily, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-05-24
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Injection site rash, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection siteFree text: Had bit of rash below injection site on same arm not bothersome at all. Received ph call from your co but as soon as person identified herself it cut off; hasn't called back yet.. Mostly big headaches & lesser neck ache, tired otherwise ok.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-24
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2022-05-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-05-26
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-27
- 2022-05-27
- 2022-06-02
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2022-06-09
Survey response — day 21, dose 3MedDRA: Fatigue — Feeling: GoodFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
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2022-06-23
Survey response — day 35, dose 3MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — day 42, dose 3MedDRA: Arthralgia, Fatigue — Feeling: FairFree text: Fatigue & joint painMedDRA releases: 2024-11 · check-in free text available
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2022-08-18
Survey response — 3 months, dose 3MedDRA: Fatigue, Impaired healing, Office visit — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue at midday, unable to heal from simple scratches , takes weeks, months. Did advice dr at apptMedDRA releases: 2024-11 · check-in free text available
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2023-05-19
Survey response — 12 months, dose 3MedDRA: Eye disorder, Headache, Ophthalmic migraine — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-05-19
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-22
- 2023-05-22
- 2023-05-23
- 2023-05-23
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2023-05-23
Callback requested for11:00AM ET
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2023-05-23
Call successfulCompleted over the phone
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2023-05-23
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2022-05-19 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild less dizziness than yesterday
Release 4 — day 7, dose 1
Systemic reaction (other): Still bit dizzy
Release 4 — day 14, dose 1
Symptoms: Joint pain
Release 5 — day 0, dose 2
Systemic reaction (other): Shortness of breath after injection may be smoke in town from brush burning;nurse had me use inhaler
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Tired
Release 5 — day 7, dose 2
Systemic reaction (other): Pain in leg
Release 6 — day 21, dose 2
Symptoms: Occasional vertigo or dizziness, insomnia, muscle aches.
Release 7 — day 35, dose 2
Symptoms: Lump under side of calf
Release 8 — 3 months, dose 2
Symptoms: Just vision is blurrier may not be related.
Release 11 — day 0, dose 3
Systemic reaction (other): Pain in neck with frontal headache worsening
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Neck pain, arm of injection pain red & sore lymph nodes under arm
Systemic reaction (other): Had floaters in eyes yesterday morning fewer now
Systemic reaction (other): Had bit of rash below injection site on same arm not bothersome at all. Received ph call from your co but as soon as person identified herself it cut off; hasn't called back yet.. Mostly big headaches & lesser neck ache, tired otherwise ok.
Release 12 — day 21, dose 3
Symptoms: Fatigue
Release 12 — day 35, dose 3
Symptoms: Fatigue
Release 12 — day 42, dose 3
Symptoms: Fatigue & joint pain
Release 12 — 3 months, dose 3
Symptoms: Fatigue at midday, unable to heal from simple scratches , takes weeks, months. Did advice dr at appt
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary mass | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired healing | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vitreous floaters | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release