6G9-32800-31889
2 vaccinations
17 coded responses
23 check-ins
17 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 760 / TX
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-03-07
Registered in v-safe
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Poor · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workFree text: Rapid heartbeatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workFree text: Out of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Out of breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
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2021-03-26
Survey response — day 21, dose 1MedDRA: Breast pain, Myalgia — Feeling: Fair · Be unable to workFree text: My left breast or heart muscle is hurting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Dose 2 — Moderna
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2021-04-02
Survey response — day 0, dose 2MedDRA: Dyspepsia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: IndigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: CoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Disturbance in attention, Feeling abnormal — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Cough, brain fog hard to concentrateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Epistaxis — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Coughing, nosebleedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 7, dose 2MedDRA: Bronchitis, Chest pain, Painful respiration — Feeling: Poor · Fever · Headache, 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 · Outpatient clinic or urgent care clinic visitFree text: Bronchitis and left side of chest is sore when breathingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 7, 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
Survey response — day 14, dose 2MedDRA: Asthma, Chest pain, Cough, Fatigue, Headache, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Asthma is worse, cough, headache, fever, extremely fatigued, chest hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — day 21, dose 2MedDRA: Hospitalisation, Pulmonary embolism — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Hospitalized with a pulmonary embolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Report sent to call center — day 21, 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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2021-04-30
Survey response — day 28, dose 2MedDRA: Abdominal distension, Abdominal pain, Dyspnoea, Fatigue, Heart rate increased, Myalgia, Office visit, Pulmonary embolism — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Pulmonary embolism, bloated, abdomen pain, high heart rate, short of breath, sore chest muscles and very fatigued! · Healthcare visit (other): Follow up doctor appointment waiting to get a full CT scanMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Report sent to call center — day 28, 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)
- 2021-05-07
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2021-05-14
Survey response — day 42, dose 2MedDRA: Cough, Dyspnoea, Fatigue, Headache, Office visit, Pulmonary embolism, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Fever, headache, fatigued, short of breath, dry cough, and a PULMONARY EMBOLISM · Healthcare visit (other): PC & oncologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Report sent to call center — day 42, 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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2021-07-02
Survey response — 3 months, dose 2MedDRA: Cardiac disorder, Pulmonary embolism — 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 · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Possible heart damage and a pulmonary embolismMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-07
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2021-07-09
Call successfulCompleted over the phone
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Blood pressure increased, Condition aggravated, Diarrhoea, Gingival disorder, Heart rate increased, Office visit, Pre-existing disease, Tinnitus, Tooth disorder — Feeling: Poor · 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: The same symptoms I have had before plus the following: Tinnitus, gums and dental problems, fast heart rate and higher blood pressure, diarrhea · Healthcare visit (other): On going Dr visitsMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2021-10-04
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 6
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Rapid heartbeat
Systemic reaction (other): Out of breath
Release 5 — day 7, dose 1
Systemic reaction (other): Out of breathe
Release 6 — day 21, dose 1
Symptoms: My left breast or heart muscle is hurting.
Release 6 — day 0, dose 2
Systemic reaction (other): Indigestion
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing
Systemic reaction (other): Coughing
Systemic reaction (other): Cough
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Cough, brain fog hard to concentrate
Systemic reaction (other): Coughing, nosebleed
Release 7 — day 7, dose 2
Systemic reaction (other): Bronchitis and left side of chest is sore when breathing
Release 7 — day 14, dose 2
Symptoms: Asthma is worse, cough, headache, fever, extremely fatigued, chest hurts
Release 7 — day 21, dose 2
Symptoms: Hospitalized with a pulmonary embolism
Release 8 — day 28, dose 2
Symptoms: Pulmonary embolism, bloated, abdomen pain, high heart rate, short of breath, sore chest muscles and very fatigued!
Healthcare visit (other): Follow up doctor appointment waiting to get a full CT scan
Release 8 — day 42, dose 2
Symptoms: Fever, headache, fatigued, short of breath, dry cough, and a PULMONARY EMBOLISM
Healthcare visit (other): PC & oncologist
Release 9 — 3 months, dose 2
Symptoms: Possible heart damage and a pulmonary embolism
Release 9 — 6 months, dose 2
Symptoms: The same symptoms I have had before plus the following: Tinnitus, gums and dental problems, fast heart rate and higher blood pressure, diarrhea
Healthcare visit (other): On going Dr visits
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal distension | ✓ | ✓ | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | · | · | ✓ |
| SD | Breast pain | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gingival disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pulmonary embolism | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Tinnitus | · | · | ✓ |
| SD | Tooth disorder | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Bronchitis | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release