3UW-88510-99725
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 933 / CA
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
H39-11877-10798
Child or adolescent in my care · Male · 2021-07-19
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Hypersomnia, Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: My tiredness/fatigue actually carried over from yesterday. I was extremely tired yesterday, but I have not slept well the night before. Even so, I was much more tired than normal. I slept nine hours overnight which is unheard of for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: I have a migraine today. This is NOT abnormal for me, and I dont believe it has anything to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-02
- 2021-04-08
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain, Myalgia, Pain, Self-medication — Feeling: GoodFree text: I had approximately 34 hours of extreme fatigue. Pain/soreness level at the injection sight was about 5 out of 10. All over body aches. 400 mg of Advil didnt seem to help. No fatigue this afternoon. No muscle soreness this afternoon. Injection sight less than a 1 out of 10 for soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
-
2021-10-09
Survey response — 6 months, dose 2MedDRA: Heart rate increased, Migraine, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hello, I've always had migraines. Lately, they have been more frequent and of greater intensity. I have also had several instances of heart rate spikes. I am not ready to attribute them to the vaccine, as I think the symptoms may be stress related.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2021-10-14
Call successfulParticipant prefers to complete VAERS report online
-
2022-04-10
Survey response — 12 months, dose 2MedDRA: Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Heart rate spikes (this was also advised during last check in). Someone was supposed to contact me, but did not.MedDRA releases: 2024-11 · check-in free text available
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2022-04-10
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Call center
2 call center cases
1 successful · 1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My tiredness/fatigue actually carried over from yesterday. I was extremely tired yesterday, but I have not slept well the night before. Even so, I was much more tired than normal. I slept nine hours overnight which is unheard of for me.
Release 5 — day 7, dose 1
Systemic reaction (other): I have a migraine today. This is NOT abnormal for me, and I dont believe it has anything to do with the vaccine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I had approximately 34 hours of extreme fatigue. Pain/soreness level at the injection sight was about 5 out of 10. All over body aches. 400 mg of Advil didnt seem to help. No fatigue this afternoon. No muscle soreness this afternoon. Injection sight less than a 1 out of 10 for soreness.
Release 10 — 6 months, dose 2
Symptoms: Hello, I've always had migraines. Lately, they have been more frequent and of greater intensity. I have also had several instances of heart rate spikes. I am not ready to attribute them to the vaccine, as I think the symptoms may be stress related. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Heart rate spikes (this was also advised during last check in). Someone was supposed to contact me, but did not.
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 | Heart rate increased | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release