5KW-18876-01710
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
4 call cases
- Sex
- Male
- Age at first dose
- 46-50
- ZIP prefix
- 902 / CA
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
- 2021-02-12
-
2021-02-17
Dose 2 — Moderna
- 2021-02-17
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 21, dose 2MedDRA: Headache — Feeling: GoodFree text: Headache for a few days. Manageable tho.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have had a headache now for a little over 2 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-24
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Continued bad headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 35, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
-
2021-05-19
Survey response — 3 months, dose 2MedDRA: Paraesthesia, 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Since last check in developed intermittent tinnitus and tingling in armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Report sent to call center — 3 months, 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)
-
2021-08-18
Survey response — 6 months, dose 2MedDRA: Discomfort, Feeling hot, Headache, Tinnitus — 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 consultationFree text: In between 3-6 months since Moderna shot #2 headaches heat and pressure continued and tinnitus began. Peaking around month 5. Its been awful. Only in the last few weeks have some of these vax symptoms relented after almost 6 months.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-18
Report sent to call center — 6 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 pr1 call case(s)
- 2021-08-25
-
2021-08-31
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-02-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-17 | Moderna |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 4
Free text
Release 5 — day 21, dose 2
Symptoms: Headache for a few days. Manageable tho.
Release 5 — day 28, dose 2
Symptoms: Have had a headache now for a little over 2 weeks.
Release 6 — day 35, dose 2
Symptoms: Continued bad headaches
Release 8 — 3 months, dose 2
Symptoms: Since last check in developed intermittent tinnitus and tingling in arms
Release 9 — 6 months, dose 2
Symptoms: In between 3-6 months since Moderna shot #2 headaches heat and pressure continued and tinnitus began. Peaking around month 5. Its been awful. Only in the last few weeks have some of these vax symptoms relented after almost 6 months.
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 | Discomfort | ✓ | · | ✓ |
| SD | Feeling hot | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release