2M9-43994-42626
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Dose 1 — Moderna
-
2021-01-13
Registered in v-safe
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Dizziness, Fatigue, Nausea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Nausea, dizziness, fatigue, chills for first two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Parosmia, Taste disorder — Feeling: GoodFree text: Strangely, today things smelled strange and tasted strange. I threw two things away that I was going to eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
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2021-01-19
Survey response — day 7, dose 1MedDRA: Feeling abnormal, Injection site erythema, Limb discomfort — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Feeling odd, Sort of spacey. Like Im in a brain fog. I would like to add that I had no redness at the injection site at all until yesterday. My arm was uncomfortable and I looked and there was about a quarter size red mark at the injection site. Since yesterday it is grown to the size of my palmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Medical observation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Case (b)(6) I called and spoke to Moderna regarding A strong delayed hyper sensitive reaction, according to my doctor. The person I spoke to at Moderna could not help me at all. She was willing to open a case with the above number.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
- 2021-02-12
- 2021-02-18
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2021-02-22
Dose 2 — Moderna
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2021-02-22
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I got the second Moderna vaccine on February 18. I tried to put that date in twice, was having problems with the pulldown menu.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-03-02
- 2021-03-08
- 2021-03-15
- 2021-03-26
- 2021-03-29
- 2021-04-05
-
2021-04-09
Call successfulDoes not wish to fill out VAERS report
- 2021-08-23
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2021-10-23
Dose 3 — ModernaCo-administered: yes
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2021-11-05
Health check-in — day 7, dose 3Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-11-10
- 2021-11-22
- 2021-12-04
- 2022-01-23
- 2022-04-23
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-23 | Moderna | Yes |
Call center
1 call center case
1 successful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea, dizziness, fatigue, chills for first two days.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Strangely, today things smelled strange and tasted strange. I threw two things away that I was going to eat.
Release 2 — day 7, dose 1
Systemic reaction (other): Feeling odd, Sort of spacey. Like Im in a brain fog. I would like to add that I had no redness at the injection site at all until yesterday. My arm was uncomfortable and I looked and there was about a quarter size red mark at the injection site. Since yesterday it is grown to the size of my palm
Release 2 — day 14, dose 1
Symptoms: Case (b)(6) I called and spoke to Moderna regarding A strong delayed hyper sensitive reaction, according to my doctor. The person I spoke to at Moderna could not help me at all. She was willing to open a case with the above number.
redacted (b)(6)
Release 4 — day 0, dose 2
Systemic reaction (other): I got the second Moderna vaccine on February 18. I tried to put that date in twice, was having problems with the pulldown menu.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Medical observation | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release