6KF-24528-52031
5 vaccinations
8 coded responses
56 check-ins
7 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · DiarrheaAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Cardiac flutter, Implantable cardiac monitor insertion, Loss of consciousness — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Had chest fluttering blacked out for a few seconds and a cardiac loop recorder was implanted · Healthcare visit (other): Implant of recorderMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-02
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-07
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
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2021-11-23
Survey response — day 21, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Getting over a really bad cold, possibly a sinus infection. No feverMedDRA releases: 2024-11 · check-in free text available
- 2021-11-30
- 2021-12-07
- 2021-12-14
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2022-02-01
Survey response — 3 months, dose 3MedDRA: Chills, Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Fair · 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: Chills fever plugged head fatigue tested COVID positiveMedDRA releases: 2024-11 · check-in free text available
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2022-02-01
Report sent to call center — 3 months, dose 3Be 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)
-
2022-02-03
Call successfulCompleted over the phone
- 2022-05-03
-
2022-05-31
Dose 4 — Moderna
-
2022-05-31
Health check-in — day 0, dose 4Feeling: Good · Site: Pain, Itching · Muscle or body achesAdult check-in
-
2022-06-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-06-02
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: ItchingFree text: Very mild tenderness in arm by injectionMedDRA releases: 2024-11 · check-in free text available
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2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
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2022-07-05
Survey response — day 35, dose 4MedDRA: Arteriosclerosis coronary artery, Cardiomegaly, Computerised tomogram thorax abnormal, Lung opacity, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Mar 2022 CT of lungs show normal heart but a new opacity on lung. June 2022 CT lung opacity is gone but now heart is enlarged and moderate coronary artery atherosclerosis. · Healthcare visit (other): Have appointment with cardiologist on July 11MedDRA releases: 2024-11 · check-in free text available
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2022-07-05
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
-
2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-12
Survey response — day 42, dose 4MedDRA: Headache, Rhinorrhoea, Throat irritation — Feeling: FairFree text: Scratchy throat, runny nose headacheMedDRA releases: 2024-11 · check-in free text available
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2022-08-30
Survey response — 3 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: Fair · 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: Tested positive again late July with CovidMedDRA releases: 2024-11 · check-in free text available
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2022-08-30
Report sent to call center — 3 months, dose 4Be 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)
-
2022-09-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-30
Dose 5 — Moderna
- 2022-11-29
-
2023-04-30
Survey response — 6 months, dose 5MedDRA: Abscess, Deafness neurosensory, Diverticulitis, Sudden hearing loss — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
-
2023-04-30
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2023-05-01
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-05-31 | Moderna | No |
| 5 | 2022-10-30 | Moderna | No |
Call center
5 call center cases
5 successful
VAERS report filed, before or during a call: 2
Free text
Release 9 — 6 months, dose 2
Symptoms: Had chest fluttering blacked out for a few seconds and a cardiac loop recorder was implanted
Healthcare visit (other): Implant of recorder
Release 10 — day 21, dose 3
Symptoms: Getting over a really bad cold, possibly a sinus infection. No fever
Release 11 — 3 months, dose 3
Symptoms: Chills fever plugged head fatigue tested COVID positive
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very mild tenderness in arm by injection
Release 12 — day 35, dose 4
Symptoms: Mar 2022 CT of lungs show normal heart but a new opacity on lung. June 2022 CT lung opacity is gone but now heart is enlarged and moderate coronary artery atherosclerosis.
Healthcare visit (other): Have appointment with cardiologist on July 11
Release 12 — day 42, dose 4
Symptoms: Scratchy throat, runny nose headache
Release 12 — 3 months, dose 4
Symptoms: Tested positive again late July with Covid
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 | Implantable cardiac monitor insertion | ✓ | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Abscess | · | · | ✓ |
| SD | Arteriosclerosis coronary artery | · | · | ✓ |
| SD | Cardiac flutter | ✓ | · | ✓ |
| SD | Cardiomegaly | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Computerised tomogram thorax abnormal | · | · | ✓ |
| SD | Deafness neurosensory | · | · | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Implantable cardiac monitor insertion | ✓ | · | ✓ |
| SD | Loss of consciousness | ✓ | · | ✓ |
| SD | Lung opacity | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sudden hearing loss | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release