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6BC-29621-34982

2 vaccinations 9 coded responses 20 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
564 / MN
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-24
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Confusional state, Vision blurred — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Blurry vision. Confusion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-02-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Good
    Free text: Mental fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Headache · Be unable to work
    Free text: I have chronic headaches so my head pain is not part of getting the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-17
    Survey response — day 21, dose 1
    MedDRA: Dysgeusia — Feeling: Good
    Free text: I get an odd taste in my mouth. Its been happening since my shot but until recently figured out it was the shot that caused it. At first I attributed it to a weird ingredient in a meal I prepared as it happens every couple of days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-24
    Dose 2 — Moderna
  12. 2021-03-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Headache
    Free text: Very weird taste sensation. Like I sucked on copper.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Strong headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches
    Adult check-in
  18. 2021-04-09
    Survey response — day 14, dose 2
    MedDRA: Apathy, Feeling hot, Hyperhidrosis, Photophobia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I get a hot feeling then sweat a lot, like a hot flash, but its not. I also have no motivation and my eyes are sensitive to light.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-09-22
    Survey response — 6 months, dose 2
    MedDRA: Blood pressure inadequately controlled, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Uncontrolled high blood pressure (pretty sure it has nothing to do with the vaccine, maybe caused by epidemic BS). · Healthcare visit (other): Regular Dr appt
    MedDRA releases: 2024-11 · check-in free text available
  23. 2021-09-22
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-12-02
  25. 2022-03-24
    Survey response — 12 months, dose 2
    MedDRA: Ageusia, Arthralgia, Bronchitis, Fatigue, Headache, Mental impairment, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had a fever, joint aches, loss of taste, a headache that wouldn't go away, HORRIBLE fatigue for over a month a hard time thinking and developed bronchitis.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-03-24
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  27. 2022-03-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-24Moderna
22021-03-24Moderna

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-25

Systemic reaction (other): Blurry vision. Confusion

2021-02-27

Systemic reaction (other): Mental fog

2021-03-02

Systemic reaction (other): I have chronic headaches so my head pain is not part of getting the vaccine.

Release 5 — day 21, dose 1

2021-03-17

Symptoms: I get an odd taste in my mouth. Its been happening since my shot but until recently figured out it was the shot that caused it. At first I attributed it to a weird ingredient in a meal I prepared as it happens every couple of days.

Release 6 — days 1–6 daily, dose 2

2021-03-25

Systemic reaction (other): Very weird taste sensation. Like I sucked on copper.

2021-03-27

Systemic reaction (other): Strong headache

Release 7 — day 14, dose 2

2021-04-09

Symptoms: I get a hot feeling then sweat a lot, like a hot flash, but its not. I also have no motivation and my eyes are sensitive to light.

Release 9 — 6 months, dose 2

2021-09-22

Symptoms: Uncontrolled high blood pressure (pretty sure it has nothing to do with the vaccine, maybe caused by epidemic BS).
Healthcare visit (other): Regular Dr appt

Release 11 — 12 months, dose 2

2022-03-24

Symptoms: I had a fever, joint aches, loss of taste, a headache that wouldn't go away, HORRIBLE fatigue for over a month a hard time thinking and developed bronchitis.

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 · · ✓
SDAgeusia · · ✓
SDApathy ✓ ✓ ✓
SDArthralgia · · ✓
SDBlood pressure inadequately controlled · · ✓
SDBronchitis · · ✓
SDDysgeusia ✓ ✓ ✓
SDFatigue · · ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache · · ✓
SDHyperhidrosis ✓ ✓ ✓
SDMental impairment · · ✓
SDPhotophobia ✓ ✓ ✓
SDPyrexia · · ✓
SROConfusional state ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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