6KN-24017-56377
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Registered in v-safe
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Therapeutic response unexpected, Throat tightness — Feeling: Good · Site: Pain, Redness · Chills, Joint pains, Muscle or body achesFree text: Oddly feel like my sinuses are clearing and my head feels lighter, less inflammation, I feel very happy, clearer thinking? Less pain than my normal days. Day 1 I did have slight tightness in my throat, very mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Migraine, Musculoskeletal discomfort, Paraesthesia, Sinus pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus pain, eye pressure, hot neck, migraine, tingling faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Feeling hot, Migraine, Tenderness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Tenderness under arm on side of injection, hot neck, eye pain, migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Migraine, Paranasal sinus discomfort, Tenderness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: Tenderness under arm on side of injection, migraine, sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Skin warm, Tremor — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body achesFree text: Upper back tremors middle of night at 4am, hot neck, yucky tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-05-04
- 2021-05-11
- 2021-05-19
- 2021-05-30
-
2021-06-02
Survey response — day 35, dose 2MedDRA: Fungal infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Yeast infection two weeks after the second injection, not sure if its related, I often get them when taking antibiotics. · Healthcare visit (other): Dr office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-02
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
-
2021-07-31
Survey response — 3 months, dose 2MedDRA: Dyspnoea exertional, Heart rate increased — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I experienced increased rapid heartbeat and shortness of breath walking hills and intense exercise.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-11
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Oddly feel like my sinuses are clearing and my head feels lighter, less inflammation, I feel very happy, clearer thinking? Less pain than my normal days. Day 1 I did have slight tightness in my throat, very mild.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus pain, eye pressure, hot neck, migraine, tingling face
Systemic reaction (other): Tenderness under arm on side of injection, hot neck, eye pain, migraine
Systemic reaction (other): Tenderness under arm on side of injection, migraine, sinus pressure
Systemic reaction (other): Upper back tremors middle of night at 4am, hot neck, yucky taste
Release 8 — day 35, dose 2
Symptoms: Yeast infection two weeks after the second injection, not sure if its related, I often get them when taking antibiotics.
Healthcare visit (other): Dr office visit
Release 9 — 3 months, dose 2
Symptoms: I experienced increased rapid heartbeat and shortness of breath walking hills and intense exercise.
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 | Dyspnoea exertional | ✓ | · | ✓ |
| SD | Fungal infection | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | · | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release