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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

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Survey response — day 0, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fever
    Free text: Slight dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot — Feeling: Good · Site: Pain, Swelling · Fever
    Free text: Woke up and felt warm last night at 0300 then it went away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-01-13
  7. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea
    Adult check-in
  9. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  12. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-08
    Dose 2 — Moderna
  15. 2021-02-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-02-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Pain in shoulder same side as injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  18. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  19. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  20. 2021-02-15
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-02-22
    Survey response — day 14, dose 2
    MedDRA: Dyspnoea, Feeling hot — Feeling: Fair
    Free 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
  22. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-22
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Good · Be unable to work
    Free text: Headaches. I don't normally have any Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-10
    Survey response — 3 months, dose 2
    MedDRA: Headache — Feeling: Good
    Free 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
  27. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Still gettiing occasional pinging pickaxe headache lasting 5 min ornso.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2022-02-08
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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
  29. 2022-02-08
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  30. 2022-02-09
  31. 2022-02-11
  32. 2022-02-14
  33. 2022-02-14
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna

Call center

2 call center cases

1 successful · 1 priority 2/3 (triaged and no follow up)

See the call center timeline

Free text

Release 1 — day 0, dose 1

2021-01-11

Systemic reaction (other): Slight dizziness

Release 1 — days 1–6 daily, dose 1

2021-01-12

Systemic reaction (other): Woke up and felt warm last night at 0300 then it went away

Release 3 — days 1–6 daily, dose 2

2021-02-09

Systemic reaction (other): Pain in shoulder same side as injection site

Release 4 — day 14, dose 2

2021-02-22

Symptoms: Feeling warm today and short of breath. Not feverish just a bit warm.

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Headaches. I don't normally have any Headaches

Release 8 — 3 months, dose 2

2021-05-10

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

2021-08-09

Symptoms: Still gettiing occasional pinging pickaxe headache lasting 5 min ornso.

Release 11 — 12 months, dose 2

2022-02-08

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

FieldPreferred term2021-092023-042024-11
SDDyspnoea ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPericardial effusion · · ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release