55L-75388-00063
3 vaccinations
8 coded responses
28 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Fair · HeadacheFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-09
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Fatigue, Nausea, Pain in extremity — Feeling: GoodFree text: I had dizziness and nausea this past Sunday and Monday with ongoing fatigue and sore arm. I woke up today and felt great and all pain was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-12
Survey response — day 35, dose 2MedDRA: Migraine, Pre-existing disease — Feeling: GoodFree text: Increased frequency of migrainesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 42, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: Sore throat and nasal congestion x 1 weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-08-08
Survey response — 6 months, dose 2MedDRA: Eosinophilic oesophagitis, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Eosinophilic Esophagitis · Healthcare visit (other): Two EGD proceduresMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-26
-
2022-02-05
Survey response — 12 months, dose 2MedDRA: Autoimmune thyroiditis — Feeling: GoodFree text: Diagnosed with Hashimoto's in Jan 2022MedDRA releases: 2024-11 · check-in free text available
-
2022-09-22
Dose 3 — Pfizer-BioNTech
-
2022-10-20
Survey response — day 28, dose 3MedDRA: Arthritis, Irritable bowel syndrome — Feeling: FairFree text: Onset of arthritis and increased frequency of IBS symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
-
2022-12-24
Health check-in — 3 months, dose 3Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Tachycardia with episodes of dizziness and near syncopeAdult check-in · check-in free text available
-
2022-12-24
Call case (no matching report) — SuccessfulParticipant prefers to complete VAERS report online
- 2022-12-28
- 2022-12-28
-
2022-12-29
Call successfulNot applicable - Accidental Reporting
-
2022-12-29
Call successfulParticipant prefers to complete VAERS report online
-
2023-03-23
Survey response — 6 months, dose 3MedDRA: Dizziness, Tachycardia — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2022-09-22 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Migraine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had dizziness and nausea this past Sunday and Monday with ongoing fatigue and sore arm. I woke up today and felt great and all pain was gone.
Release 5 — day 35, dose 2
Symptoms: Increased frequency of migraines
Release 6 — day 42, dose 2
Symptoms: Sore throat and nasal congestion x 1 week
Release 9 — 6 months, dose 2
Release 11 — 12 months, dose 2
Symptoms: Diagnosed with Hashimoto's in Jan 2022
Release 12 — day 28, dose 3
Symptoms: Onset of arthritis and increased frequency of IBS symptoms
Release 12 — 3 months, dose 3
Symptoms: Tachycardia with episodes of dizziness and near syncope
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 | Arthritis | · | · | ✓ |
| SD | Autoimmune thyroiditis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Eosinophilic oesophagitis | ✓ | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Tachycardia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release