59T-31645-66140
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 338 / FL
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 1 — Moderna
- 2021-03-29
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Purpura — Feeling: Fair · HeadacheFree text: PurpuraMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-12
-
2021-04-26
Dose 2 — Moderna
- 2021-05-05
-
2021-05-10
Survey response — day 14, dose 2MedDRA: Sinusitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Report sent to call center — day 14, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-29
- 2021-06-09
-
2021-07-28
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: COVID-19, Cough, Sneezing, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mild COVID, only got COVID after my kids, too young to be vaccinated, threw up, coughed, sneezed, etc. all over me for 2 weeks. Vaccine definitely helped and I'm the only vaccinated family member who got it.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-15
-
2022-04-27
Survey response — 12 months, dose 2MedDRA: Arnold-Chiari malformation, COVID-19, Fatigue, Loss of personal independence in daily activities, Migraine, Muscle contractions involuntary, Myoclonus, Sinus disorder, Sinus operation — Feeling: Fair · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: symptoms related to COVID NOT the vaccine. After COVID sinuses have been bad and aggravated or caused chiari malformation. Sinus surgery in January. Brain surgery coming up. Almost daily migraines, fatigue with ADLs, fasciculations, monoclonal jerks. · Healthcare visit (other): NOT due to the vaccine, due to complications from COVID. No problem with the vaccine. Without the vaccine I would probably be worse off than I am now.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-10 | Unsuccessful | |
| 2022-04-27 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Purpura
Release 8 — day 14, dose 2
Symptoms: Sinus infection
Release 9 — 3 months, dose 2
Symptoms: Headache, fatigue
Release 10 — 6 months, dose 2
Symptoms: Mild COVID, only got COVID after my kids, too young to be vaccinated, threw up, coughed, sneezed, etc. all over me for 2 weeks. Vaccine definitely helped and I'm the only vaccinated family member who got it.
Release 11 — 12 months, dose 2
Symptoms: symptoms related to COVID NOT the vaccine. After COVID sinuses have been bad and aggravated or caused chiari malformation. Sinus surgery in January. Brain surgery coming up. Almost daily migraines, fatigue with ADLs, fasciculations, monoclonal jerks. cut off by CDC
Healthcare visit (other): NOT due to the vaccine, due to complications from COVID. No problem with the vaccine. Without the vaccine I would probably be worse off than I am now.
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 | COVID-19 | · | · | ✓ |
| SD | Arnold-Chiari malformation | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Muscle contractions involuntary | · | · | ✓ |
| SD | Myoclonus | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinus operation | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Purpura | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release