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4H2-27594-65424

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
073 / NJ
Registered
2021-02-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Dose 1 — Moderna
  2. 2021-02-22
    Registered in v-safe
  3. 2021-02-22
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-15
    Dose 2 — Moderna
  7. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Just kind of woozy-Decided I should not drive this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tremor — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: A bit shaky in the morning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Woke up feeling woozy again today. Felt great yesterday, but did have 1 glass of wine last night. It was truly one glass, so I am definitely not hungover. Did the wine have an affect though? I do not know, just felt like Ibwas set back a day, after feeling great yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-29
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Pyrexia — Feeling: Good
    Free text: I have had 3 glasses of wine since the vaccination, with dinner in 3 separate occasions. Of the three times, twice I woke up the next morning feeling as though I had been through the fever all over again, exhausted and totally worn out.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-15
    Survey response — 6 months, dose 2
    MedDRA: Asthma, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Asthma flare up. First in years
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-09-15
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-09-20
    Call successful
    Does not wish to fill out VAERS report
  24. 2022-03-17
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Headache — 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 · Outpatient clinic or urgent care clinic visit
    Free text: Several days of bad headaches, feeling exhausted.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-03-17
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  26. 2022-03-18
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-15Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-17

Systemic reaction (other): Just kind of woozy-Decided I should not drive this morning.

2021-03-18

Systemic reaction (other): A bit shaky in the morning

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Woke up feeling woozy again today. Felt great yesterday, but did have 1 glass of wine last night. It was truly one glass, so I am definitely not hungover. Did the wine have an affect though? I do not know, just felt like Ibwas set back a day, after feeling great yesterday.

Release 6 — day 14, dose 2

2021-03-29

Symptoms: I have had 3 glasses of wine since the vaccination, with dinner in 3 separate occasions. Of the three times, twice I woke up the next morning feeling as though I had been through the fever all over again, exhausted and totally worn out.

Release 9 — 6 months, dose 2

2021-09-15

Symptoms: Asthma flare up. First in years

Release 11 — 12 months, dose 2

2022-03-17

Symptoms: Several days of bad headaches, feeling exhausted.

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
SDAsthma · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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