5AA-22886-39110
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 551 / MN
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Felt weird at 3:20 AM, like something was traveling through my body. Didn't feel good. Lasted 20 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to workFree text: I have gad a pretty rough time. I don't know that I should do dose #2. Almost went to the ER.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Redness, Swelling · Headache, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-25
- 2021-03-04
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-05-18
Survey response — 3 months, dose 1MedDRA: Dizziness, Head discomfort, Headache, Tinnitus — 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 consultationFree text: I ended up with tinnitus about 2 weeks after vaccine. I also have had dizziness (finally resolved) and head pressure. Mostly gone except tinnitus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-18
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-17
Survey response — 6 months, dose 1MedDRA: Atrial fibrillation, Laboratory test abnormal, Medical counselling, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: I ended up with atrial fibrillation that my doc thinks is vax related. I had labs done that show I have long haul Covid markers without ever having Covid. I was doing really well before I got my one dose. This vaccine has wrecked my life. · Healthcare visit (other): See private docMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-17
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-19
-
2021-08-20
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2022-02-16
Survey response — 12 months, dose 1MedDRA: Arthralgia, Atrial fibrillation, Bone pain, Immunisation reaction — Feeling: Fair · 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: Bone and joint ache. I got long haul symptoms from vax. That is along with A-Fib. It's criminal you are not done anything above side effects.MedDRA releases: 2024-11 · check-in free text available
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2022-02-16
Report sent to call center — 12 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 2
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Felt weird at 3:20 AM, like something was traveling through my body. Didn't feel good. Lasted 20 minutes.
Systemic reaction (other): I have gad a pretty rough time. I don't know that I should do dose #2. Almost went to the ER.
Release 8 — 3 months, dose 1
Symptoms: I ended up with tinnitus about 2 weeks after vaccine. I also have had dizziness (finally resolved) and head pressure. Mostly gone except tinnitus.
Release 9 — 6 months, dose 1
Symptoms: I ended up with atrial fibrillation that my doc thinks is vax related. I had labs done that show I have long haul Covid markers without ever having Covid. I was doing really well before I got my one dose. This vaccine has wrecked my life.
Healthcare visit (other): See private doc
Release 11 — 12 months, dose 1
Symptoms: Bone and joint ache. I got long haul symptoms from vax. That is along with A-Fib. It's criminal you are not done anything above side effects.
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 | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Atrial fibrillation | ✓ | · | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Laboratory test abnormal | ✓ | · | ✓ |
| SD | Medical counselling | ✓ | · | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Emergency care | ○ | ○ | ○ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release