5H6-10501-18498
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 207 / MD
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Menstrual disorder — Feeling: GoodFree text: I got my period 7 days early which has never happened before. I recently changed to a vegetarian diet so not sure if this symptom can be attributed to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: PainFree text: Yesterday I had a rapid heartbeat and forgot to report itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Lip pain, Oral herpes — Feeling: GoodFree text: Painful cold sore on lipMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-06-09
Survey response — 3 months, dose 2MedDRA: Dizziness, Nausea, Skin warm — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy, nauseated, warm skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Constipation, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Constipation, heart racing/pounding periodicallyMedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-08 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: I got my period 7 days early which has never happened before. I recently changed to a vegetarian diet so not sure if this symptom can be attributed to the vaccine.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I had a rapid heartbeat and forgot to report it
Systemic reaction (other): Painful cold sore on lip
Release 9 — 3 months, dose 2
Symptoms: Dizzy, nauseated, warm skin
Release 9 — 6 months, dose 2
Symptoms: Constipation, heart racing/pounding periodically
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 | Constipation | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lip pain | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release