2V8-33209-14206
2 vaccinations
8 coded responses
19 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 554 / MN
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-23
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Dizziness, Sleep disorder — Feeling: Fair · Fatigue or tirednessFree text: Yes, I woke up in the middle of the night extremely dizzy. I have been lightheaded all day. I forgot to mention the first two nights I had stomach pain and had to get up and use bathroom, not a normal occurrence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-01-26
- 2021-01-27
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2021-01-28
Survey response — day 7, dose 1MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Nasal congestion, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Lacrimation increased, Respiratory tract congestion, Rhinorrhoea — Feeling: Good · Be unable to workFree text: Last Thursday, Friday, Saturday had a headache, a Hines, fatigue, head congestion, runny nose, and watery eyes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-18
Dose 2 — Moderna
- 2021-02-18
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Fatigue, Headache, Pain — Feeling: GoodFree text: I forgot to check in yesterday, but I was fatigued, achy, slight headache and sharp stomach pains yesterday morning. Today Im fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-02-24
- 2021-03-06
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2021-03-18
Survey response — day 28, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Pain in my left arm and shoulderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Survey response — 3 months, dose 2MedDRA: Joint range of motion decreased, Vaccination site pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My upper arm where I received vaccine is frequently painful, range of motion, rotation limited.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-19
Survey response — 6 months, dose 2MedDRA: Joint range of motion decreased, Pain in extremity, Physiotherapy — 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 visitFree text: Sore left arm due to shot. In PT to gain back range of motion hopefully.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-19
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)
- 2021-08-24
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2022-02-18
Survey response — 12 months, dose 2MedDRA: Periarthritis, Shoulder injury related to vaccine administration — 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 visitFree text: Frozen should still due to second vaccine - SIRVAMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Report sent to call center — 12 months, dose 2Be 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)
- 2022-02-23
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2022-02-23
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Yes, I woke up in the middle of the night extremely dizzy. I have been lightheaded all day. I forgot to mention the first two nights I had stomach pain and had to get up and use bathroom, not a normal occurrence.
Release 2 — day 7, dose 1
Systemic reaction (other): Nasal congestion, runny nose
Release 3 — day 14, dose 1
Symptoms: Last Thursday, Friday, Saturday had a headache, a Hines, fatigue, head congestion, runny nose, and watery eyes.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to check in yesterday, but I was fatigued, achy, slight headache and sharp stomach pains yesterday morning. Today Im fine.
Release 5 — day 28, dose 2
Symptoms: Pain in my left arm and shoulder
Release 8 — 3 months, dose 2
Symptoms: My upper arm where I received vaccine is frequently painful, range of motion, rotation limited.
Release 9 — 6 months, dose 2
Symptoms: Sore left arm due to shot. In PT to gain back range of motion hopefully.
Release 11 — 12 months, dose 2
Symptoms: Frozen should still due to second vaccine - SIRVA
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Joint range of motion decreased | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Periarthritis | · | · | ✓ |
| SD | Physiotherapy | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Shoulder injury related to vaccine administration | · | · | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release