5VP-25056-87763
5 vaccinations
12 coded responses
65 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 103 / NY
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
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2021-01-17
Dose 1 — Moderna
- 2021-01-17
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · NauseaFree text: Slightly lightheaded in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
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2021-01-31
Survey response — day 14, dose 1MedDRA: Asthenia, Dizziness, Medical counselling, Nausea — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Symptoms: Overnight 1/24 1 week after. Nauseous, dizzy ,lightheaded, weak. Thought of going to the hospital. Severe symptoms. · Healthcare visit (other): Phone visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Report sent to call center — day 14, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-07
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2021-02-14
Dose 2 — Moderna
- 2021-02-14
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-19
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Joint pains, NauseaFree text: Light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-28
- 2021-03-07
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2021-03-14
Survey response — day 28, dose 2MedDRA: Crying, Dizziness, Gastrointestinal disorder, Hot flush, Nausea, Tinnitus — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Symptoms started 25 days after second shot. Lasted three days so far.Lightheaded/nauseous/ white noise in head/ squishy intestine/verge of tears: feeling weak/Hot flashesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
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2021-03-30
Survey response — day 42, dose 2MedDRA: Dizziness, Fatigue, Nausea, Office visit, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Light headed, nauseous, foot pain, extreme fatigue. · Healthcare visit (other): Visited my internist, a podiatrist, a Neurologist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-16
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2021-06-11
Call successfulDoes not wish to fill out VAERS report
- 2021-08-15
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2021-10-26
Dose 3 — Moderna
- 2021-10-26
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-02
Health check-in — day 7, dose 3Feeling: Fair · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-09
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2021-11-16
Survey response — day 21, dose 3MedDRA: Back pain, Neck pain — Feeling: FairFree text: Back and neck pain.MedDRA releases: 2024-11 · check-in free text available
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2021-11-23
Survey response — day 28, dose 3MedDRA: Back pain, Neuralgia — Feeling: FairFree text: Back and nerve pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-09
- 2022-01-25
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2022-04-08
Dose 4 — Moderna
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2022-04-10
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Injection site was very sore for 24 hours after the shot. This survey came 48 hours after the shot and symptoms are gone today.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-15
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2022-04-22
Survey response — day 14, dose 4MedDRA: Dizziness, Headache, Nausea — Feeling: FairFree text: Headache/lightheaded/nauseaMedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
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2022-10-07
Survey response — 6 months, dose 4MedDRA: Dizziness, Pain in extremity — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sore arm and lightheadedMedDRA releases: 2024-11 · check-in free text available
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2022-10-15
Dose 5 — Moderna
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2022-10-15
Survey response — day 0, dose 5MedDRA: Unevaluable event — Feeling: Poor · Chills, Headache, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I signed in with the wrong date. My bivalent vaccine was on Oct 8.MedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2022-10-17
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Headache, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-10-20
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2022-10-21
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I got my flu HD vaccine yesterday. So these symptoms could very well have come from that.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2023-01-14
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-10-15 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly lightheaded in the morning.
Release 3 — day 14, dose 1
Symptoms: Overnight 1/24 1 week after. Nauseous, dizzy ,lightheaded, weak. Thought of going to the hospital. Severe symptoms.
Healthcare visit (other): Phone visit
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed
Release 5 — day 28, dose 2
Symptoms: Symptoms started 25 days after second shot. Lasted three days so far.Lightheaded/nauseous/ white noise in head/ squishy intestine/verge of tears: feeling weak/Hot flashes
Release 6 — day 42, dose 2
Symptoms: Light headed, nauseous, foot pain, extreme fatigue.
Healthcare visit (other): Visited my internist, a podiatrist, a Neurologist.
Release 10 — day 21, dose 3
Symptoms: Back and neck pain.
Release 10 — day 28, dose 3
Symptoms: Back and nerve pain.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site was very sore for 24 hours after the shot. This survey came 48 hours after the shot and symptoms are gone today.
Release 11 — day 14, dose 4
Symptoms: Headache/lightheaded/nausea
Release 12 — 6 months, dose 4
Symptoms: Sore arm and lightheaded
Release 12 — day 0, dose 5
Systemic reaction (other): I signed in with the wrong date. My bivalent vaccine was on Oct 8.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I got my flu HD vaccine yesterday. So these symptoms could very well have come from that.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Crying | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release