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5L8-27304-66566

2 vaccinations 5 coded responses 10 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
554 / MN
Registered
2021-01-03
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Free text: Dizziness/lightheadedness; all s/s occurred on 1/3 at approximately 0300-0900
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-04
    Report sent to call center — days 1–6 daily, dose 1
    Be unable to do your normal daily activities
    1 call case(s)
  5. 2021-01-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Parosmia — Feeling: Good
    Free text: Altered sense of smell
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-30
    Dose 2 — Moderna
  9. 2021-01-30
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal pain
    Adult check-in
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea
    Adult check-in
  12. 2021-02-06
    Survey response — day 7, dose 2
    MedDRA: Nausea, Vertigo — Feeling: Good · Be unable to do your normal daily activities
    Free text: Nausea and vertigo yesterday 2/5, no s/s today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-20
    Survey response — day 21, dose 2
    MedDRA: Depression, Disturbance in attention, Fatigue, Feeling abnormal, Memory impairment, Nausea, Office visit — Feeling: Poor · 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 visit
    Free text: Symptoms: Severe fatigue, inability to concentrate, brain fog, forgetfulness, depression like symptoms, intermittent nausea, poor efficacy of ADHD medication despite dosage adjustments per PMHNP · Healthcare visit (other): Mental health care provider for med adjustments
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-20
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-03-13
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea, Fatigue, Headache, Nausea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Varying symptoms with unpredictable onset. Nausea, headaches, sob, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-07-24
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Dizziness/lightheadedness; all s/s occurred on 1/3 at approximately 0300-0900

2021-01-07

Systemic reaction (other): Altered sense of smell

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Nausea and vertigo yesterday 2/5, no s/s today

Release 4 — day 21, dose 2

2021-02-20

Symptoms: Severe fatigue, inability to concentrate, brain fog, forgetfulness, depression like symptoms, intermittent nausea, poor efficacy of ADHD medication despite dosage adjustments per PMHNP
Healthcare visit (other): Mental health care provider for med adjustments

Release 5 — day 42, dose 2

2021-03-13

Symptoms: Varying symptoms with unpredictable onset. Nausea, headaches, sob, fatigue

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
HCVOOffice visit ✓ ✓ ✓
SDDepression ✓ ✓ ✓
SDDisturbance in attention ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMemory impairment ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROParosmia ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

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