4C7-14866-91007
4 vaccinations
11 coded responses
52 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 804 / CO
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
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2021-03-24
Dose 1 — Moderna
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2021-03-24
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Dizzy spellsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Decreased appetite, Dizziness, Vertigo — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Light headed, vertigo, dizzy, no appetiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: PainFree text: One dizzy spellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 1MedDRA: Hordeolum — Feeling: GoodFree text: Stye for first time in my lifeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
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2021-04-21
Dose 2 — Moderna
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2021-04-21
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Dizzy, light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature decreased, Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Dizzy, light headed, low body temp 86.2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
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2021-05-27
Survey response — day 35, dose 2MedDRA: Hordeolum — Feeling: Good · Be unable to do your normal daily activitiesFree text: Another stye, never had them before being vaccinated, have now had twice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-07-21
- 2021-10-22
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2022-04-28
Survey response — 12 months, dose 2MedDRA: COVID-19, Office visit — 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: Symptoms: I had COVID. · Healthcare visit (other): Antibody treatment at hospitalMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Report sent to call center — 12 months, dose 2Be 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)
- 2022-04-29
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2022-05-12
Dose 3 — Pfizer-BioNTech
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2022-05-13
Survey response — days 1–6 daily, dose 3MedDRA: Vertigo — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-05-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-28
- 2022-06-02
- 2022-06-09
- 2022-06-16
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2022-06-24
Survey response — day 42, dose 3MedDRA: Uterine haemorrhage — Feeling: Good · 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: Extreme uterine bleedingMedDRA releases: 2024-11 · check-in free text available
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2022-06-24
Report sent to call center — day 42, dose 3Be 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)
- 2022-06-27
- 2022-06-27
- 2022-08-12
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2022-10-12
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-12
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2022-10-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-10-14
- 2022-10-15
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-27
- 2022-11-04
- 2022-11-09
- 2022-11-16
- 2022-11-23
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2023-01-11
Survey response — 3 months, dose 4MedDRA: Bronchitis, Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-01-11
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-01-12
- 2023-01-12
- 2023-01-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2022-05-12 | Pfizer-BioNTech | No |
| 4 | 2022-10-12 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-28 | Unsuccessful | |
| 2022-06-24 | Unsuccessful | |
| 2023-01-11 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Dizzy spells
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Light headed, vertigo, dizzy, no appetite
Systemic reaction (other): One dizzy spell
Release 7 — day 14, dose 1
Symptoms: Stye for first time in my life
Release 7 — day 0, dose 2
Systemic reaction (other): Dizzy, light headed
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy, light headed, low body temp 86.2
Release 8 — day 35, dose 2
Symptoms: Another stye, never had them before being vaccinated, have now had twice.
Release 11 — 12 months, dose 2
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Vertigo
Release 12 — day 42, dose 3
Symptoms: Extreme uterine bleeding
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 | Office visit | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection viral | · | · | ✓ |
| SD | Uterine haemorrhage | · | · | ✓ |
| SRO | Body temperature decreased | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release