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
-
2021-03-17
Dose 1 — Moderna
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2021-04-14
Dose 2 — Moderna
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2021-04-15
Registered in v-safe
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Dizziness and pain in old healed injuriesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight increased heart rateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-21
Survey response — day 7, dose 2MedDRA: Insomnia, Pain, Pre-existing disease, Procedural pain — Feeling: Fair · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree 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
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2021-04-28
Survey response — day 14, dose 2MedDRA: Diarrhoea, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-05-05
Survey response — day 21, dose 2MedDRA: Dizziness, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-05-14
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2021-05-20
Survey response — day 35, dose 2MedDRA: Circadian rhythm sleep disorder, Initial insomnia, Insomnia, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Insomnia, troubles getting to sleep, and staying in regular sleep schedule · Healthcare visit (other): Waiting for apptMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-26
Survey response — day 42, dose 2MedDRA: Insomnia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree 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
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2022-04-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness and pain in old healed injuries
Systemic reaction (other): Slight increased heart rate
Systemic reaction (other): Insomnia
Release 7 — day 7, dose 2
Systemic reaction (other): Insomnia and poblems going to sleep still, also have pain in area of older appendectomy.
Release 8 — day 14, dose 2
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
Symptoms: Insomnia, hard to get to sleep and some occasion al mild dizzy spells continue.
Release 8 — day 35, dose 2
Symptoms: Insomnia, troubles getting to sleep, and staying in regular sleep schedule
Healthcare visit (other): Waiting for appt
Release 8 — day 42, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Circadian rhythm sleep disorder | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Initial insomnia | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Post-traumatic pain | ○ | ✓ | ○ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Procedural pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release