2PB-63734-66737
2 vaccinations
8 coded responses
12 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 816 / CO
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-13
Dose 1 — Moderna
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2021-04-10
Dose 2 — Moderna
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2021-04-12
Registered in v-safe
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pre-existing disease, Vertigo — Feeling: Good · Site: Pain, SwellingFree text: Triggered my vertigo and acid refluxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis, Oral discomfort, Paraesthesia oral — Feeling: Fair · Site: Swelling · Fever · Headache · Be unable to do your normal daily activitiesFree text: Had massive chills 4/11, today had sweats in morning but only for 2 hours, limited what I can eat, salt in anything is making my lips burn and tingleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Feeding disorder, Gastrooesophageal reflux disease, Nasal congestion, Office visit, Oral discomfort, Vertigo — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Got vertigo from COVID 11/2020, shot made it worse has impacted my ability to eat unable to have any food with salt, causing acid reflux nasal congestion & burning lips · Healthcare visit (other): Neurological chiropractic specialist for vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professionalno matching call case
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Physiotherapy, Pre-existing disease, Vertigo — Feeling: Fair · Headache · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Triggered my vertigo from COVID back in November 2020 · Healthcare visit (other): Physical therapy for vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professionalno matching call case
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2021-04-17
Survey response — day 7, dose 2MedDRA: Dizziness, Gastrooesophageal reflux disease, Oral discomfort, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vertigo and inability to tolerate sodium of any kind, makes my lips burn, feel thick, causing reflux and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — day 14, dose 2MedDRA: Vertigo — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo worsened but is getting better last few days. Still have burning lips and cant have anything with sodium, also an odd tongue sensation on right side caused by some foods · Healthcare visit (other): Physical therapy for vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-02
- 2021-05-08
- 2021-05-15
- 2021-05-23
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2021-07-11
Survey response — 3 months, dose 2MedDRA: Sinusitis, Vertigo — 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 · Outpatient clinic or urgent care clinic visitFree text: Continued vertigo, sinusitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-11
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-07-20
Call successfulParticipant prefers to complete VAERS report online
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Sinusitis, Surgery — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Sinus infection, had surgery · Healthcare visit (other): Outpatient surgeryMedDRA releases: 2024-11 · check-in free text available
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2021-10-11
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
2 check-ins flagged for a call with no call center case on record
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Triggered my vertigo and acid reflux
Systemic reaction (other): Had massive chills 4/11, today had sweats in morning but only for 2 hours, limited what I can eat, salt in anything is making my lips burn and tingle
Systemic reaction (other): Got vertigo from COVID 11/2020, shot made it worse has impacted my ability to eat unable to have any food with salt, causing acid reflux nasal congestion & burning lips
Healthcare visit (other): Neurological chiropractic specialist for vertigo
Systemic reaction (other): Triggered my vertigo from COVID back in November 2020
Healthcare visit (other): Physical therapy for vertigo
Release 7 — day 7, dose 2
Systemic reaction (other): Vertigo and inability to tolerate sodium of any kind, makes my lips burn, feel thick, causing reflux and dizziness
Release 7 — day 14, dose 2
Symptoms: Vertigo worsened but is getting better last few days. Still have burning lips and cant have anything with sodium, also an odd tongue sensation on right side caused by some foods
Healthcare visit (other): Physical therapy for vertigo
Release 9 — 3 months, dose 2
Symptoms: Continued vertigo, sinusitis
Release 10 — 6 months, dose 2
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 | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | ✓ | ✓ | ✓ |
| HCVO | Surgery | · | · | ✓ |
| HCVO | Vertigo | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeding disorder | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release