6DA-15632-47874
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 326 / FL
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Headache, Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Redness and itching in localized area at injection site not previously present (appeared Days9-11). Mild headache continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-26
Dose 2 — Moderna
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2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme pain in injection shoulder and armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continuing unabated pain in injected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continuing pain in injected armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-02
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
- 2021-07-27
-
2021-09-10
Dose 3 — Moderna
- 2021-10-24
-
2021-12-10
Survey response — 3 months, dose 3MedDRA: Fatigue, Headache, Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: GoodFree text: I had symptoms of a bad cold - fatigue, severe congestion, sore throat, body aches, headache - about 3 weeks ago but I resolved in about 4-5 days.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-11
-
2022-04-08
Dose 4 — Moderna
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2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Two days ago my symptoms were worse and I stayed home all day because of it. Symptoms improved but still present.MedDRA releases: 2024-11 · check-in free text available
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2022-04-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
- 2022-04-14
-
2022-04-15
Health check-in — day 7, dose 4Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
-
2022-05-20
Survey response — day 42, dose 4MedDRA: Meniere's disease, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have Ménière's Disease. It's flaring up right now.MedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-05-23
Call successfulCompleted over the phone
- 2022-07-08
-
2022-09-12
Dose 5 — Moderna
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2022-09-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-18
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-20
Health check-in — day 7, dose 5Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-26
- 2022-10-17
- 2022-12-14
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-09-10 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-12 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 1 — day 14, dose 1
Symptoms: Redness and itching in localized area at injection site not previously present (appeared Days9-11). Mild headache continues.
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme pain in injection shoulder and arm
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Continuing unabated pain in injected arm
Systemic reaction (other): Continuing pain in injected arm
Release 10 — 3 months, dose 3
Symptoms: I had symptoms of a bad cold - fatigue, severe congestion, sore throat, body aches, headache - about 3 weeks ago but I resolved in about 4-5 days.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Two days ago my symptoms were worse and I stayed home all day because of it. Symptoms improved but still present.
Release 11 — day 42, dose 4
Symptoms: I have Ménière's Disease. It's flaring up right now.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Meniere's disease | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release