6GX-17768-09358
4 vaccinations
5 coded responses
30 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-08-14
-
2021-10-23
Dose 3 — Moderna
- 2021-10-24
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-11-06
Survey response — day 14, dose 3MedDRA: Nausea, Salivary gland enlargement — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I developed swelling of salivary glands. Have been very nauseous.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-09
- 2021-11-14
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2021-11-22
Survey response — day 28, dose 3MedDRA: Fatigue — Feeling: FairFree text: Extreme fatigueMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
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2021-12-04
Survey response — day 42, dose 3MedDRA: Ear infection, Salivary gland enlargement — Feeling: FairFree text: Ear infection and salivary gland swelling.MedDRA releases: 2024-11 · check-in free text available
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2022-01-22
Survey response — 3 months, dose 3MedDRA: Salivary gland enlargement — Feeling: FairFree text: Shortly after my booster I had salivary gland swelling. I took antibiotics and prednisone. I'm told it has nothing to do with my booster. I just curious if there are archers reported and my swelling has gone down not not completely.MedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Survey response — 6 months, dose 3MedDRA: Balance disorder, Dizziness, Salivary duct obstruction — Feeling: Poor · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: My salivary glands are still blocked. I am off balance and Lightheaded. All happened within a week of my booster shot and is getting worse.MedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-04-26
Call successfulParticipant prefers to complete VAERS report online
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2022-09-13
Dose 4 — Moderna
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2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
- 2022-10-11
- 2022-10-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 14, dose 3
Symptoms: I developed swelling of salivary glands. Have been very nauseous.
Release 10 — day 28, dose 3
Symptoms: Extreme fatigue
Release 10 — day 42, dose 3
Symptoms: Ear infection and salivary gland swelling.
Release 11 — 3 months, dose 3
Symptoms: Shortly after my booster I had salivary gland swelling. I took antibiotics and prednisone. I'm told it has nothing to do with my booster. I just curious if there are archers reported and my swelling has gone down not not completely.
Release 11 — 6 months, dose 3
Symptoms: My salivary glands are still blocked. I am off balance and Lightheaded. All happened within a week of my booster shot and is getting worse.
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 | Balance disorder | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Salivary duct obstruction | · | · | ✓ |
| SD | Salivary gland enlargement | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release