545-33930-57483
4 vaccinations
6 coded responses
36 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 440 / OH
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: The pain was at the base of my skull on both sides. I have never had a pain like this there before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-21
- 2021-04-23
-
2021-04-30
Survey response — day 14, dose 2MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Continuing swollen lymph node pain at base of skull -right side back of head. Sometimes pain continues to front of neck on that side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-18
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-11-19
Dose 3 — Moderna
- 2022-04-15
-
2022-09-06
Dose 4 — Moderna
- 2022-09-06
- 2022-09-07
- 2022-09-08
- 2022-09-10
- 2022-09-11
- 2022-09-20
- 2022-09-29
-
2022-10-05
Survey response — day 28, dose 4MedDRA: Trichorrhexis — Feeling: GoodFree text: I have hair breakage again, like I after my second Moderna vaccination. I would like to know what in the vaccine causes this. I'm not happy with this, it will take months to stop, grow out again. Plus additional haircuts to try to make it look even.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Survey response — day 35, dose 4MedDRA: Reaction to previous exposure to any vaccine, Trichorrhexis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Hair breakage. Also occurred after second Moderna vaccine and now my second booster.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-13
-
2022-10-13
Call successfulParticipant prefers to complete VAERS report online
- 2022-10-20
- 2022-12-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-09-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The pain was at the base of my skull on both sides. I have never had a pain like this there before.
Release 8 — day 14, dose 2
Symptoms: Continuing swollen lymph node pain at base of skull -right side back of head. Sometimes pain continues to front of neck on that side.
Release 12 — day 28, dose 4
Symptoms: I have hair breakage again, like I after my second Moderna vaccination. I would like to know what in the vaccine causes this. I'm not happy with this, it will take months to stop, grow out again. Plus additional haircuts to try to make it look even. cut off by CDC
Release 12 — day 35, dose 4
Symptoms: Hair breakage. Also occurred after second Moderna vaccine and now my second booster.
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 | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Trichorrhexis | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release