4EF-79628-41751
4 vaccinations
16 coded responses
50 check-ins
16 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 039 / ME
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-13
Registered in v-safe
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2021-04-13
Dose 1 — Moderna
- 2021-04-13
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Not sure if headache was still from shot or possibly start of allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
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2021-04-27
Survey response — day 14, dose 1MedDRA: Vertigo — Feeling: FairFree text: My benign paroxysmal positional vertigo has been acting up for the past week. Make me feel loopy drunk like without the fun of alcohol. You learn to move carefully.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — day 21, dose 1MedDRA: Dizziness, Feeling drunk — Feeling: FairFree text: Dizzy drunk feelingJust make sure to walk carefullyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Dose 2 — Moderna
- 2021-05-11
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-05-14
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2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-05-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
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2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · HeadacheFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Survey response — day 7, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Headache, Joint painsFree text: Dizziness, light headed, strange feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — day 14, dose 2MedDRA: Balance disorder, Dizziness, Feeling drunk, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Always dizzy loss of balance drunk feeling · Healthcare visit (other): Doctor appointment with audiologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-01
Survey response — day 21, dose 2MedDRA: Dizziness, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Still having dizziness saw audiologist this week · Healthcare visit (other): At officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-08
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: FairFree text: Still having my days that the dizziness is badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — day 35, dose 2MedDRA: Dizziness, Nausea — Feeling: FairFree text: Some days the dizziness makes me sick to my stomachMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-22
- 2021-07-09
- 2021-08-10
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2021-11-09
Survey response — 6 months, dose 2MedDRA: Physiotherapy, Unevaluable event — 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: Symptoms: Back issues since 7/21 · Healthcare visit (other): Physical therapyMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-10
Call successfulParticipant prefers to complete VAERS report online
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2021-12-11
Dose 3 — Moderna
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-13
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2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-12-15
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2021-12-16
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Fair · HeadacheFree text: Pain in one legMedDRA releases: 2024-11 · check-in free text available
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2021-12-17
Survey response — days 1–6 daily, dose 3MedDRA: Myalgia — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Muscle pain in one leg Moderate levelMedDRA releases: 2024-11 · check-in free text available
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2021-12-18
Survey response — day 7, dose 3MedDRA: Dizziness, Joint stiffness — Feeling: Fair · HeadacheFree text: Dizzy stiff jointsMedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-01-22
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2022-03-12
Survey response — 3 months, dose 3MedDRA: Chest discomfort, Dyspepsia, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had to go to a walk in clinic for what they said was heart burn. Chest discomfortMedDRA releases: 2024-11 · check-in free text available
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2022-03-12
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-14
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2022-06-11
Survey response — 6 months, dose 3MedDRA: Abdominal pain lower, Chest pain, Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Chest pain Lower abdomen pain, dizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-06-11
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-06-13
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-06-13
Call successfulNot applicable - Accidental Reporting
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2022-10-01
Dose 4 — Moderna
- 2022-10-03
- 2022-10-04
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-17
- 2022-10-22
- 2022-10-29
- 2022-11-05
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2022-11-12
Survey response — day 42, dose 4MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-31
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-11 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-10-01 | Moderna | No |
Call center
5 call center cases
5 successful
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Not sure if headache was still from shot or possibly start of allergies
Release 8 — day 14, dose 1
Symptoms: My benign paroxysmal positional vertigo has been acting up for the past week. Make me feel loopy drunk like without the fun of alcohol. You learn to move carefully.
Release 8 — day 21, dose 1
Symptoms: Dizzy drunk feelingJust make sure to walk carefully
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 8 — day 7, dose 2
Systemic reaction (other): Dizziness, light headed, strange feeling
Release 8 — day 14, dose 2
Symptoms: Always dizzy loss of balance drunk feeling
Healthcare visit (other): Doctor appointment with audiologist
Release 8 — day 21, dose 2
Symptoms: Still having dizziness saw audiologist this week
Healthcare visit (other): At office
Release 8 — day 28, dose 2
Symptoms: Still having my days that the dizziness is bad
Release 9 — day 35, dose 2
Symptoms: Some days the dizziness makes me sick to my stomach
Release 10 — 6 months, dose 2
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in one leg
Systemic reaction (other): Muscle pain in one leg Moderate level
Release 10 — day 7, dose 3
Systemic reaction (other): Dizzy stiff joints
Release 11 — 3 months, dose 3
Symptoms: Had to go to a walk in clinic for what they said was heart burn. Chest discomfort
Release 12 — 6 months, dose 3
Symptoms: Chest pain Lower abdomen pain, dizziness
Release 12 — day 42, dose 4
Symptoms: Headaches
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 | ✓ | ✓ | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Abdominal pain lower | · | · | ✓ |
| SD | Balance disorder | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | · | · | ✓ |
| SD | Feeling drunk | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Joint stiffness | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release