28J-12530-86893
4 vaccinations
3 coded responses
7 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Fever · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-01-27
-
2021-02-24
Dose 2 — Moderna
-
2021-03-15
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Feeling abnormal, Headache, Pyrexia, Tinnitus — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Had a 103 degree fever for more than 24 hours post 2nd vaccine. Dizziness, headache, no sleep. Temp of 101 still at 36 hours. Ringing in ears extreme. Brain fog and tiredness for a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Abdominal pain upper, Dyspepsia, Fatigue, Hypotension, Milk allergy, Office visit, Rash, Rash pruritic — Feeling: Poor · 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: Rash on left side of chest, itchy. Went away. Extreme stomach cramps and new sensitivity to dairy. Gave that up. Constant indigestion. Went to doctor to rule out heart attack. Fatigue, ongoing. Now as of the last week low blood pressure causing · Healthcare visit (other): In person doctor visit and specialist visitMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-11-02
Dose 3 — Moderna
- 2021-12-03
-
2021-12-14
Call successfulCompleted over the phone
-
2022-05-03
Dose 4 — Moderna
-
2022-05-09
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: This was for 36 hours after the 4th booster.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 5 — day 14, dose 2
Symptoms: Had a 103 degree fever for more than 24 hours post 2nd vaccine. Dizziness, headache, no sleep. Temp of 101 still at 36 hours. Ringing in ears extreme. Brain fog and tiredness for a week.
Release 9 — 6 months, dose 2
Symptoms: Rash on left side of chest, itchy. Went away. Extreme stomach cramps and new sensitivity to dairy. Gave that up. Constant indigestion. Went to doctor to rule out heart attack. Fatigue, ongoing. Now as of the last week low blood pressure causing cut off by CDC
Healthcare visit (other): In person doctor visit and specialist visit
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): This was for 36 hours after the 4th booster.
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 | Abdominal pain upper | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypotension | ✓ | · | ✓ |
| SD | Milk allergy | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SD | Rash pruritic | ✓ | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release