6BA-31716-54999
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 253 / WV
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Injection site urticaria, Injection site warmth — Feeling: GoodFree text: After receiving the vaccine 2 weeks ago, a large hive appeared on my arm under the injection site. It is hot to the touch and slightly raised. Injections site is also red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-02-04
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2021-02-05
Dose 2 — Moderna
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2021-02-23
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: Off and on headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-05
- 2021-03-12
- 2021-03-19
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Fatigue, Heart rate increased, Inflammation, Pyrexia, Thyroid mass, Thyroiditis subacute — Feeling: Good · 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: Diagnosed with Subacute ThyroiditisThyroid nodules or inflammation (scan with contrast was inconclusive) FatigueFever every day for 30 days at exact time of day. It went away without medicationHeart rate is staying elevated even on BP medsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-07
Survey response — 6 months, dose 2MedDRA: Thyroiditis subacute — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Subacute ThyroiditisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-16
Call successfulParticipant prefers to complete VAERS report online
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Acid reflux is out of control!MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-02-07
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 2 — day 14, dose 1
Symptoms: After receiving the vaccine 2 weeks ago, a large hive appeared on my arm under the injection site. It is hot to the touch and slightly raised. Injections site is also red.
Release 4 — day 14, dose 2
Symptoms: Off and on headache
Release 8 — 3 months, dose 2
Symptoms: Diagnosed with Subacute ThyroiditisThyroid nodules or inflammation (scan with contrast was inconclusive) FatigueFever every day for 30 days at exact time of day. It went away without medicationHeart rate is staying elevated even on BP meds
Release 9 — 6 months, dose 2
Symptoms: Diagnosed with Subacute Thyroiditis
Release 11 — 12 months, dose 2
Symptoms: Acid reflux is out of control!
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Thyroid mass | ✓ | ✓ | ✓ |
| SD | Thyroiditis subacute | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release