5MG-18435-45606
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 982 / WA
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
-
2021-03-10
Survey response — day 0, dose 1MedDRA: Abdominal pain, Eructation — Feeling: Fair · Site: Pain, Itching · Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sharp abdominal pain and belchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Joint pains, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · Headache, Muscle or body achesAdult check-in
- 2021-03-14
-
2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Itching · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-17
Health check-in — day 7, dose 1Feeling: Poor · Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Dyspnoea, Malaise, SARS-CoV-2 test negative, Wheezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Difficult to breathe, wheezing and stomach pain. My clinic did a COVID test came negative gave me a inhaler but continue to wheeze. They say its the stomach but since the vaccine, Ive been feeling sick.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Survey response — day 21, dose 1MedDRA: Gastric disorder, Migraine — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Migraines and stomach problemsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-04-08
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Chills, Muscle or body achesAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-12
Survey response — day 35, dose 2MedDRA: Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hemiplegic MigranesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — day 42, dose 2MedDRA: Hemiplegic migraine, Lymphadenopathy — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hemiplegic Migranes and swollen lymph nodes in the throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-07
Survey response — 3 months, dose 2MedDRA: Apnoea, Hemiplegic migraine, Lymphadenopathy — Feeling: Good · Be unable to work or attend schoolFree text: Hemiplegic Migranes and severe apnea and swollen lymph node in the throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-06
-
2022-02-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Sharp abdominal pain and belching
Release 6 — day 14, dose 1
Symptoms: Difficult to breathe, wheezing and stomach pain. My clinic did a COVID test came negative gave me a inhaler but continue to wheeze. They say its the stomach but since the vaccine, Ive been feeling sick.
Release 6 — day 21, dose 1
Symptoms: Migraines and stomach problems
Release 8 — day 35, dose 2
Symptoms: Hemiplegic Migranes
Release 8 — day 42, dose 2
Symptoms: Hemiplegic Migranes and swollen lymph nodes in the throat.
Release 9 — 3 months, dose 2
Symptoms: Hemiplegic Migranes and severe apnea and swollen lymph node in the throat.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Apnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Gastric disorder | ✓ | ✓ | ✓ |
| SD | Hemiplegic migraine | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Eructation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release