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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

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-03-12
    Dose 2 — Moderna
  3. 2021-03-13
    Registered in v-safe
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Somnolence — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: Feel sleepy always
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: 2x Gad experience mild dzynes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Palpitations — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Easily tired had palpitation after 15 mns walk
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Fair · None
    Adult check-in
  9. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-04-09
    Survey response — day 28, dose 2
    MedDRA: Cough — Feeling: Fair
    Free 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
  12. 2021-04-16
    Survey response — day 35, dose 2
    MedDRA: Cough, Fatigue — Feeling: Fair
    Free 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
  13. 2021-04-25
    Survey response — day 42, dose 2
    MedDRA: 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 visit
    Free text: Still having easily fatigue but improving after the 3days now hot water inhalation as my provider Doctor adviced.had schdule cardiologists May 13/2021
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-25
    Report sent to call center — day 42, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-14
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Easyly get tired !
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  17. 2022-03-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-07
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-12Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Feel sleepy always

2021-03-16

Systemic reaction (other): 2x Gad experience mild dzynes

2021-03-17

Systemic reaction (other): Easily tired had palpitation after 15 mns walk

Release 7 — day 28, dose 2

2021-04-09

Symptoms: I have cough but not dry yesterday and today maybe because of the weather,

Release 7 — day 35, dose 2

2021-04-16

Symptoms: On & off occasional cough, easily got tired specially when am having my early walking exercise !

Release 7 — day 42, dose 2

2021-04-25

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

2021-06-14

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release