6FQ-15850-68948
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
1 call case
- Sex
- —
- Age at first dose
- 51-55
- ZIP prefix
- 223 / VA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain upper, Amnesia, Chills, Diarrhoea, Fatigue, Loss of consciousness, Nausea, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: 8 hours after I was given first Moderna vaccine shot, I experienced severe nausea, diarrhea, severe stomachs pains, fatigue, body aches, severe chills and this lasted approximately 4-5 hours. I felt like I lost those hours. I cant remember anything during those hours, as if I blacked out.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, NauseaAdult check-in
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-30
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-02-28
Dose 2 — Moderna
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: My taste is affected, taste of metal when eating and drinking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Good · Site: PainFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
-
2021-03-21
Survey response — day 21, dose 2MedDRA: Dizziness, Fatigue, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Dizziness, fatigued, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — day 28, dose 2MedDRA: Dizziness, Nausea, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Vomiting, dizziness, nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-04
- 2021-04-11
- 2021-05-30
- 2021-08-29
-
2021-12-16
Call successfulCompleted over the phone
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): 8 hours after I was given first Moderna vaccine shot, I experienced severe nausea, diarrhea, severe stomachs pains, fatigue, body aches, severe chills and this lasted approximately 4-5 hours. I felt like I lost those hours. I cant remember anything during those hours, as if I blacked out.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My taste is affected, taste of metal when eating and drinking.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Metallic taste in mouth
Release 6 — day 21, dose 2
Symptoms: Dizziness, fatigued, nausea
Release 6 — day 28, dose 2
Symptoms: Vomiting, dizziness, nausea
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Amnesia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release