2N5-17461-89113
2 vaccinations
6 coded responses
9 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 930 / CA
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-06-22
Dose 1 — Moderna
-
2021-08-20
Registered in v-safe
-
2021-08-20
Dose 2 — Moderna
-
2021-08-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-22
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Can feel out of breathMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-23
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Gait disturbance — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Very dizzy. Not able to walk up stairs physically without helpMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-24
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Very low energy.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-25
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Balance disorder, Dizziness, Malaise, Respiration abnormal — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I feel horrible. Im dizzy and a Little off balance. I almost fell this morning. Very little energy and my breathing is weird.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea exertional, Fatigue — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Extreme fatigue. I have trouble breathing if I try to move around too much.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Survey response — day 7, dose 2MedDRA: COVID-19, Dizziness, Loss of personal independence in daily activities, Medical counselling, Mobility decreased, Respiratory disorder — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Dizzy and cant do anything. If I move to much I feel faint. · Healthcare visit (other): Ive called my dr because my breathing isnt good. I had covidMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-03
- 2021-09-10
-
2021-12-14
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-22 | Moderna | No |
| 2 | 2021-08-20 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Can feel out of breath
Systemic reaction (other): Very dizzy. Not able to walk up stairs physically without help
Systemic reaction (other): Very low energy.
Systemic reaction (other): I feel horrible. Im dizzy and a Little off balance. I almost fell this morning. Very little energy and my breathing is weird.
Systemic reaction (other): Extreme fatigue. I have trouble breathing if I try to move around too much.
Release 9 — day 7, dose 2
Systemic reaction (other): Dizzy and cant do anything. If I move to much I feel faint.
Healthcare visit (other): Ive called my dr because my breathing isnt good. I had covid
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 | COVID-19 | ✓ | · | ✓ |
| HCVO | Medical counselling | ✓ | · | ✓ |
| HCVO | Respiratory disorder | ✓ | · | ✓ |
| SRO | Asthenia | ✓ | · | ✓ |
| SRO | Balance disorder | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | · | ✓ |
| SRO | Dyspnoea | ✓ | · | ✓ |
| SRO | Dyspnoea exertional | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | · | ✓ |
| SRO | Gait disturbance | ✓ | · | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | · | ✓ |
| SRO | Malaise | ✓ | · | ✓ |
| SRO | Mobility decreased | ✓ | · | ✓ |
| SRO | Respiration abnormal | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release