6HD-61905-56505
2 vaccinations
8 coded responses
24 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-11
Registered in v-safe
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2021-01-11
Dose 1 — Moderna
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2021-01-11
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · FeverFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot — Feeling: Good · Site: Pain, Swelling · FeverFree text: Woke up and felt warm last night at 0300 then it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-25
- 2021-02-01
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2021-02-08
Dose 2 — Moderna
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain in shoulder same side as injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-15
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2021-02-22
Survey response — day 14, dose 2MedDRA: Dyspnoea, Feeling hot — Feeling: FairFree text: Feeling warm today and short of breath. Not feverish just a bit warm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-08
- 2021-03-15
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2021-03-22
Survey response — day 42, dose 2MedDRA: Headache — Feeling: Good · Be unable to workFree text: Headaches. I don't normally have any HeadachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-10
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: GoodFree text: Headaches. Like icepick heqdaches. I feel a few jabs, then its gone withon one mi nute. Never had these. I get about 3 a day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-09
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Still gettiing occasional pinging pickaxe headache lasting 5 min ornso.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-08
Survey response — 12 months, dose 2MedDRA: Headache, Pericardial effusion — 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: The headaches finally stopped in November. I had one more episode February 4. I also now have a slight pericadial effusion .MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
- 2022-02-11
- 2022-02-14
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2022-02-14
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
2 call center cases
1 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Slight dizziness
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up and felt warm last night at 0300 then it went away
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in shoulder same side as injection site
Release 4 — day 14, dose 2
Symptoms: Feeling warm today and short of breath. Not feverish just a bit warm.
Release 6 — day 42, dose 2
Symptoms: Headaches. I don't normally have any Headaches
Release 8 — 3 months, dose 2
Symptoms: Headaches. Like icepick heqdaches. I feel a few jabs, then its gone withon one mi nute. Never had these. I get about 3 a day.
Release 9 — 6 months, dose 2
Symptoms: Still gettiing occasional pinging pickaxe headache lasting 5 min ornso.
Release 11 — 12 months, dose 2
Symptoms: The headaches finally stopped in November. I had one more episode February 4. I also now have a slight pericadial effusion .
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pericardial effusion | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release