4A3-25203-70535
5 vaccinations
20 coded responses
54 check-ins
20 free-text entries
6 call cases
- Sex
- Male
- Age at first dose
- 36-40
- ZIP prefix
- 941 / CA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-06
Dose 1 — Moderna
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2021-02-10
Registered in v-safe
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin, Wheezing — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Wheezing. Extreme skin sensitivity.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-03-01
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2021-03-06
Dose 2 — Moderna
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness, Wheezing — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Wheezing. Hands are extremely coldMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I still have cold handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness — Feeling: FairFree text: Still have really cold handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness — Feeling: Fair · ChillsFree text: Still have cold handsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
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2021-04-10
Survey response — day 35, dose 2MedDRA: Feeling abnormal — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Brain Fog. Has happened the last month since vaccine #2. Couldnt put my finger on it until I spoke to my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-17
Survey response — day 42, dose 2MedDRA: Brain fog — Feeling: Good · Be unable to do your normal daily activitiesFree text: Still brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Depression — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Depression.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-04
Survey response — 6 months, dose 2MedDRA: Brain fog, Depression, Vitamin D deficiency — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Depression Vitamin D deficiency.Still have brain fofMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-04
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)
- 2021-09-08
- 2021-09-13
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2021-09-13
Call successfulParticipant prefers to complete VAERS report online
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2021-11-01
Dose 3 — Moderna
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
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2021-11-29
Survey response — day 28, dose 3MedDRA: Depression, Wheezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Depression. Little bit of wheezingMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — day 35, dose 3MedDRA: Depression, Insomnia, Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraines. Depression. Sleep loss.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
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2022-01-31
Survey response — 3 months, dose 3MedDRA: Depression, Fatigue, Viral skin infection — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fatigue. Depression. Viral outbreak across the face.MedDRA releases: 2024-11 · check-in free text available
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2022-01-31
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-02-03
Call successfulParticipant prefers to complete VAERS report online
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2022-05-02
Dose 4 — Moderna
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2022-05-02
Survey response — day 0, dose 4MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: Just had fourth dose three hours ago. Ask me tomorrowMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — 6 months, dose 3MedDRA: Hypoaesthesia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Vaccine related. A sensation of dead arm sometimes in the left deltoid. FYI I did just have my second booster todayMedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-05-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Nail discolouration, Unevaluable event — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Diarrhea · 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: Systemic reaction (other): Blue fingernails · Healthcare visit (other): Waiting for a call from NPMedDRA releases: 2024-11 · check-in free text available
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2022-05-05
Report sent to call center — days 1–6 daily, dose 4Be 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)
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2022-05-06
Survey response — days 1–6 daily, dose 4MedDRA: Nail discolouration — Feeling: Fair · Site: Itching · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Blue fingernails stillMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-05-06
Call successfulCompleted over the phone
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2022-05-07
Survey response — days 1–6 daily, dose 4MedDRA: Cyanosis — Feeling: Fair · Site: ItchingFree text: Blue fingernailsMedDRA releases: 2024-11 · check-in free text available
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2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Cyanosis — Feeling: GoodFree text: Fingers are still blue.MedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — day 7, dose 4MedDRA: Nail discolouration — Feeling: Good · Fatigue or tirednessFree text: Fingernails are still blueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
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2022-08-01
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-08-01
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-08-02
Call successfulReported to VAERS during previous contact from GDIT
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2022-08-02
Call successfulReported to VAERS during previous contact from GDIT
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2022-10-10
Dose 5 — Moderna
- 2022-10-31
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Wheezing. Extreme skin sensitivity.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Wheezing. Hands are extremely cold
Systemic reaction (other): I still have cold hands
Systemic reaction (other): Still have really cold hands
Systemic reaction (other): Still have cold hands
Release 7 — day 35, dose 2
Symptoms: Brain Fog. Has happened the last month since vaccine #2. Couldnt put my finger on it until I spoke to my doctor
Release 7 — day 42, dose 2
Symptoms: Still brain fog
Release 8 — 3 months, dose 2
Symptoms: Depression.
Release 9 — 6 months, dose 2
Symptoms: Depression Vitamin D deficiency.Still have brain fof
Release 10 — day 28, dose 3
Symptoms: Depression. Little bit of wheezing
Release 10 — day 35, dose 3
Symptoms: Migraines. Depression. Sleep loss.
Release 11 — 3 months, dose 3
Symptoms: Fatigue. Depression. Viral outbreak across the face.
Release 11 — 6 months, dose 3
Symptoms: Vaccine related. A sensation of dead arm sometimes in the left deltoid. FYI I did just have my second booster today
Release 11 — day 0, dose 4
Systemic reaction (other): Just had fourth dose three hours ago. Ask me tomorrow
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Blue fingernails
Healthcare visit (other): Waiting for a call from NP
Systemic reaction (other): Blue fingernails still
Systemic reaction (other): Blue fingernails
Systemic reaction (other): Fingers are still blue.
Release 11 — day 7, dose 4
Systemic reaction (other): Fingernails are still blue
Release 12 — 3 months, dose 4
Symptoms: Covid
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 | Unevaluable event | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Viral skin infection | · | · | ✓ |
| SD | Vitamin D deficiency | ✓ | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Cyanosis | · | · | ✓ |
| SRO | Nail discolouration | · | · | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Wheezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release