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5KA-25072-96280

2 vaccinations 8 coded responses 11 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
945 / CA
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-17
    Dose 1 — Moderna
  2. 2021-04-14
    Dose 2 — Moderna
  3. 2021-04-15
    Registered in v-safe
  4. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Pain, Post-traumatic pain, Pre-existing disease — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness and pain in old healed injuries
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Slight increased heart rate
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Insomnia — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains
    Adult check-in
  9. 2021-04-21
    Survey response — day 7, dose 2
    MedDRA: Insomnia, Pain, Pre-existing disease, Procedural pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Insomnia and poblems going to sleep still, also have pain in area of older appendectomy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-28
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea, Insomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Am struggling with insomnia and getting back on my sleep schedule since the second vaccination. Don't know if related, but also had several instances of diarrhea, which is not typical for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-05
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Insomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Insomnia, hard to get to sleep and some occasion al mild dizzy spells continue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-14
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-05-20
    Survey response — day 35, dose 2
    MedDRA: Circadian rhythm sleep disorder, Initial insomnia, Insomnia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Insomnia, troubles getting to sleep, and staying in regular sleep schedule · Healthcare visit (other): Waiting for appt
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-20
    Report sent to call center — day 35, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-05-26
    Survey response — day 42, dose 2
    MedDRA: Insomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Insomnia continues, many nights can't go to sleep until early morning. This has been happening since second vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2022-04-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-17Moderna
22021-04-14Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-15

Systemic reaction (other): Dizziness and pain in old healed injuries

2021-04-17

Systemic reaction (other): Slight increased heart rate

2021-04-19

Systemic reaction (other): Insomnia

Release 7 — day 7, dose 2

2021-04-21

Systemic reaction (other): Insomnia and poblems going to sleep still, also have pain in area of older appendectomy.

Release 8 — day 14, dose 2

2021-04-28

Symptoms: Am struggling with insomnia and getting back on my sleep schedule since the second vaccination. Don't know if related, but also had several instances of diarrhea, which is not typical for me.

Release 8 — day 21, dose 2

2021-05-05

Symptoms: Insomnia, hard to get to sleep and some occasion al mild dizzy spells continue.

Release 8 — day 35, dose 2

2021-05-20

Symptoms: Insomnia, troubles getting to sleep, and staying in regular sleep schedule
Healthcare visit (other): Waiting for appt

Release 8 — day 42, dose 2

2021-05-26

Symptoms: Insomnia continues, many nights can't go to sleep until early morning. This has been happening since second vaccine.

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event ✓ ✓ ✓
SDCircadian rhythm sleep disorder ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDInitial insomnia ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPost-traumatic pain ○ ✓ ○
SROPre-existing disease ✓ ✓ ✓
SROProcedural pain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release