3FU-53220-68036
2 vaccinations
7 coded responses
13 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- Asian
- Ethnicity
- N/A
Timeline
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2021-02-11
Dose 1 — Moderna
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2021-03-12
Dose 2 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: Feel sleepy alwaysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: 2x Gad experience mild dzynesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Palpitations — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Easily tired had palpitation after 15 mns walkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-04-09
Survey response — day 28, dose 2MedDRA: Cough — Feeling: FairFree text: I have cough but not dry yesterday and today maybe because of the weather,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 35, dose 2MedDRA: Cough, Fatigue — Feeling: FairFree text: On & off occasional cough, easily got tired specially when am having my early walking exercise !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — day 42, dose 2MedDRA: Fatigue, Medical counselling — Feeling: Poor · 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: Still having easily fatigue but improving after the 3days now hot water inhalation as my provider Doctor adviced.had schdule cardiologists May 13/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-14
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Easyly get tired !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-10
- 2022-03-12
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2022-04-07
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feel sleepy always
Systemic reaction (other): 2x Gad experience mild dzynes
Systemic reaction (other): Easily tired had palpitation after 15 mns walk
Release 7 — day 28, dose 2
Symptoms: I have cough but not dry yesterday and today maybe because of the weather,
Release 7 — day 35, dose 2
Symptoms: On & off occasional cough, easily got tired specially when am having my early walking exercise !
Release 7 — day 42, dose 2
Symptoms: Still having easily fatigue but improving after the 3days now hot water inhalation as my provider Doctor adviced.had schdule cardiologists May 13/2021
Release 9 — 3 months, dose 2
Symptoms: Easyly get tired !
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 | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release