6CQ-29511-42152
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
-
2021-01-11
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea, Vomiting, Abdominal painFree text: Dizzy for a few mins lots of acid in my throat lastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Fatigue, Headache, Pain, Pain in extremity, Pregnancy — Feeling: Poor · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Really bad headache and some pain in stomach possibly pregnant as well. Really tired today. Ark is sore and can't not lift over my head but has improved from last two daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Vomiting, Abdominal painAdult check-in
- 2021-01-16
- 2021-01-17
-
2021-01-18
Survey response — day 7, dose 1MedDRA: Pregnancy — Feeling: GoodFree text: Found out I was pregnancy yesterday If I can help in any way with the vaccine and pregnancy please let me knowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-25
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-17
- 2021-03-01
- 2021-03-08
- 2021-03-22
- 2021-08-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-13 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy for a few mins lots of acid in my throat last
Systemic reaction (other): Really bad headache and some pain in stomach possibly pregnant as well. Really tired today. Ark is sore and can't not lift over my head but has improved from last two days
Release 2 — day 7, dose 1
Systemic reaction (other): Found out I was pregnancy yesterday If I can help in any way with the vaccine and pregnancy please let me know
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 |
|---|---|---|---|---|
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release