6KD-30958-27947
4 vaccinations
11 coded responses
52 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
-
2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Middle insomnia, Self-medication — Feeling: GoodFree text: I did have to get up at 4:00 AM to take Advil for a headache. That is very unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Tongue discomfort — Feeling: GoodFree text: Geographic tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-25
-
2021-04-01
Survey response — day 14, dose 2MedDRA: Abdominal pain, Diarrhoea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Abdominal cramps, diarrhea, fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-06-17
- 2021-09-16
-
2021-10-23
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Abdominal pain, Cough, Diarrhoea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Abdominal cramping and diarrhea, night coughing.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-30
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-05-23
Dose 4 — Moderna
-
2022-05-23
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-25
- 2022-05-26
-
2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Tongue geographic — Feeling: GoodFree text: Geographic tongueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
-
2022-05-29
Survey response — days 1–6 daily, dose 4MedDRA: Tongue geographic — Feeling: GoodFree text: Geographic tongueMedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Survey response — day 7, dose 4MedDRA: Tongue geographic — Feeling: GoodFree text: Geographic tongueMedDRA releases: 2024-11 · check-in free text available
-
2022-06-06
Survey response — day 14, dose 4MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: FairFree text: Congestion, slight headache and fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
-
2022-08-22
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-08-22
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-23
-
2022-08-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-08-24
Callback requested for03:00PM ET
-
2022-08-24
Call successfulCompleted over the phone
-
2022-11-21
Survey response — 6 months, dose 4MedDRA: COVID-19, Hyperhidrosis, Nail disorder, Onychoclasis, Tongue disorder — Feeling: GoodFree text: I cannot grow fingernails since I had COVID the first week in July. They split and tear. My toenails are also not growing at a normal rate. My feet sweat and I still have geographic tongue.MedDRA releases: 2024-11 · check-in free text available
-
2023-05-25
Survey response — 12 months, dose 4MedDRA: Anaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-05-25
Call case (no matching report) — SuccessfulReported to VAERS during previous contact from GDIT
-
2023-05-26
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I did have to get up at 4:00 AM to take Advil for a headache. That is very unusual.
Systemic reaction (other): Geographic tongue
Release 6 — day 14, dose 2
Symptoms: Abdominal cramps, diarrhea, fever.
Release 10 — day 35, dose 3
Symptoms: Abdominal cramping and diarrhea, night coughing.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Geographic tongue
Systemic reaction (other): Geographic tongue
Release 11 — day 7, dose 4
Systemic reaction (other): Geographic tongue
Release 11 — day 14, dose 4
Symptoms: Congestion, slight headache and fatigue.
Release 12 — 3 months, dose 4
Symptoms: Covid
Release 12 — 6 months, dose 4
Symptoms: I cannot grow fingernails since I had COVID the first week in July. They split and tear. My toenails are also not growing at a normal rate. My feet sweat and I still have geographic tongue.
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Nail disorder | · | · | ✓ |
| SD | Onychoclasis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Tongue disorder | · | · | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Tongue discomfort | ✓ | ✓ | ✓ |
| SRO | Tongue geographic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release