6G9-21400-30832
3 vaccinations
13 coded responses
28 check-ins
13 free-text entries
10 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-03-14
Dose 1 — Moderna
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2021-03-15
Registered in v-safe
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Cold sweat — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Cold sweats, cramping to left side of back and left side of upper abdomen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Condition aggravated, Flushing, Pre-existing disease, Pulmonary sarcoidosis — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Systemic reaction (other): Facial flushing and cold sweats. · Healthcare visit (other): I have Fibromyalgia and Lung Sarcoidosis. My Rheumatologist thinks the vaccine may have caused a flare up of my Fibromyalgia.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Facial flushing absent of fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — day 7, dose 1Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
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2021-04-11
Survey response — day 28, dose 1MedDRA: Dysmenorrhoea, Heavy menstrual bleeding, Oligomenorrhoea — Feeling: Fair · Be unable to work, 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: Heavy, painful, longer duration menstrual cycles. I am scheduled for my 2nd Maderna dose tomorrow morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-12
Dose 2 — Moderna
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Neuralgia, Pain in extremity, Peripheral coldness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, 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: Fingers on both hands are cold and painful. It feels like nerve pain. I can't warm them up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-04-14
Report sent to call center — days 1–6 daily, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body achesAdult check-in
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Cough, Medical counselling, Oropharyngeal pain, Painful respiration, Secretion discharge — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Pain and pressure when I breathe, sore throat, cough with occasionally secretions since 4/16/21.. · Healthcare visit (other): No appointments available. Left email for my Physician.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — days 1–6 daily, 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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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Painful respiration, Productive cough — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in chest when breathing in and productive cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 7, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Non-productive cough, sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
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2021-05-03
Survey response — day 21, dose 2MedDRA: Cough, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I don't know if related to vaccine but I have a chronic cough. I reached out to Kaiser on an e-visit but wasn't given any recommendations.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
- 2021-05-17
- 2021-05-26
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2021-10-29
Dose 3 — ModernaCo-administered: Flu
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain, Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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: Ear ache and sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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: Ear acheMedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Report sent to call center — days 1–6 daily, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-05
Survey response — day 7, dose 3MedDRA: Peripheral swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, 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: Both hands & fingers swollenMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Report sent to call center — day 7, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-05
- 2021-11-11
- 2021-11-12
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2021-11-12
Call successfulCompleted over the phone
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2021-11-13
Survey response — day 14, dose 3MedDRA: Pain in extremity, Peripheral swelling — Feeling: Fair · Be unable to work or attend school, 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: Both hands and fingers painful and swollen.MedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-16
- 2022-01-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-14 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
Call center
10 call center cases
3 successful · 7 unsuccessful
VAERS report filed, before or during a call: 3
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Cold sweats, cramping to left side of back and left side of upper abdomen.
Systemic reaction (other): Facial flushing and cold sweats.
Healthcare visit (other): I have Fibromyalgia and Lung Sarcoidosis. My Rheumatologist thinks the vaccine may have caused a flare up of my Fibromyalgia.
Systemic reaction (other): Facial flushing absent of fever.
Release 7 — day 28, dose 1
Symptoms: Heavy, painful, longer duration menstrual cycles. I am scheduled for my 2nd Maderna dose tomorrow morning.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Fingers on both hands are cold and painful. It feels like nerve pain. I can't warm them up.
Systemic reaction (other): Pain and pressure when I breathe, sore throat, cough with occasionally secretions since 4/16/21..
Healthcare visit (other): No appointments available. Left email for my Physician.
Systemic reaction (other): Pain in chest when breathing in and productive cough.
Release 7 — day 7, dose 2
Systemic reaction (other): Non-productive cough, sore throat.
Release 8 — day 21, dose 2
Symptoms: I don't know if related to vaccine but I have a chronic cough. I reached out to Kaiser on an e-visit but wasn't given any recommendations.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Ear ache and sore throat
Systemic reaction (other): Ear ache
Release 10 — day 7, dose 3
Systemic reaction (other): Both hands & fingers swollen
Release 10 — day 14, dose 3
Symptoms: Both hands and fingers painful and swollen.
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 |
|---|---|---|---|---|
| HCVO | Condition aggravated | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Pre-existing disease | ✓ | ✓ | ✓ |
| HCVO | Pulmonary sarcoidosis | ○ | ✓ | ○ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release