6H4-17791-07463
5 vaccinations
10 coded responses
68 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 125 / NY
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
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2021-02-11
Dose 1 — Moderna
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2021-02-11
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · HeadacheFree text: Slightly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Palpitations — Feeling: Fair · Fever · Muscle or body achesFree text: PalpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
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2021-03-11
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body achesAdult check-in
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Headache, NauseaFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
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2021-04-22
Survey response — day 42, dose 2MedDRA: Office visit, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo · Healthcare visit (other): Office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-10
Survey response — 3 months, dose 2MedDRA: Vertigo positional — Feeling: Good · 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: Benign Paroxysmal Positional Vertigo. I had a short lived acute episode the night if my second vaccine that went away. Started again two weeks later. It is finally subsiding after 2 months.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Report sent to call center — 3 months, 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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2021-06-17
Call successfulDoes not wish to fill out VAERS report
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2021-09-10
Survey response — 6 months, dose 2MedDRA: Breakthrough COVID-19, Cough, Diarrhoea, Fatigue, Influenza virus test negative, Office visit, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · 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: Fever, cough, diarrhea, fatigue, body aches, congestion that lasted almost two weeks. I had 2 negative Covid tests, negative flu tests. My doctor was highly suspicious that this was breakthrough Covid.MedDRA releases: 2024-11 · check-in free text available
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2021-09-10
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-13
- 2021-09-14
-
2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-03
- 2021-11-04
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: 2 swollen lymph nodes in my neck since Tues. A little less swollen today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
-
2022-05-04
Dose 4 — Moderna
- 2022-05-04
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2022-05-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
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2022-09-28
Dose 5 — Moderna
-
2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2022-10-01
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2022-10-02
Survey response — days 1–6 daily, dose 5MedDRA: Dyspepsia — Feeling: GoodFree text: HeartburnMedDRA releases: 2024-11 · check-in free text available
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2022-10-03
Survey response — days 1–6 daily, dose 5MedDRA: Vertigo — Feeling: Fair · Headache, NauseaFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
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2022-10-04
Survey response — days 1–6 daily, dose 5MedDRA: Vertigo — Feeling: Fair · HeadacheFree text: VertigoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slightly dizzy
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Palpitations
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Vertigo
Release 7 — day 42, dose 2
Release 9 — 3 months, dose 2
Symptoms: Benign Paroxysmal Positional Vertigo. I had a short lived acute episode the night if my second vaccine that went away. Started again two weeks later. It is finally subsiding after 2 months.
Release 9 — 6 months, dose 2
Symptoms: Fever, cough, diarrhea, fatigue, body aches, congestion that lasted almost two weeks. I had 2 negative Covid tests, negative flu tests. My doctor was highly suspicious that this was breakthrough Covid.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): 2 swollen lymph nodes in my neck since Tues. A little less swollen today.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Heartburn
Systemic reaction (other): Vertigo
Systemic reaction (other): Vertigo
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 | Breakthrough COVID-19 | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SD | Vertigo positional | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release