6KV-76233-34858
3 vaccinations
4 coded responses
32 check-ins
4 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 724 / AR
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
- 2021-01-16
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-24
- 2021-01-29
- 2021-02-05
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-03-26
Survey response — day 42, dose 2MedDRA: Hepatic mass, Liver abscess, Nausea, Ultrasound scan abnormal, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have developed a liver lesion that was an incidental finding on an ultrasound that may be a hemangioma or focal fatty infiltration, but we are not sure. It probably was not related to the vaccine, but the test was due to nausea over the last month. · Healthcare visit (other): Outpatient ultrasoundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-14
-
2021-07-30
Call successfulDoes not wish to fill out VAERS report
- 2021-08-13
-
2021-11-11
Dose 3 — Moderna
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I had a fever over 101 F on Friday but couldn't find a way to report it · Healthcare visit (other): I tried to get healthcare but was asked to cancel my appt due to high demandMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Report sent to call center — days 1–6 daily, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-15
-
2021-11-15
Call successfulCompleted over the phone
- 2021-11-18
- 2021-11-25
-
2021-12-04
Survey response — day 21, dose 3MedDRA: Anaemia, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · Be unable to work or attend school, 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: Consistent with viral illness, new anemia (not covid based on PCR testing)MedDRA releases: 2024-11 · check-in free text available
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2021-12-04
Report sent to call center — day 21, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-06
-
2021-12-06
Call successfulCompleted over the phone
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-12
-
2022-11-13
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, 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: Covid 19MedDRA releases: 2024-11 · check-in free text available
-
2022-11-13
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-14
-
2022-11-14
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
Call center
5 call center cases
4 successful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 3
Free text
Release 6 — day 42, dose 2
Symptoms: I have developed a liver lesion that was an incidental finding on an ultrasound that may be a hemangioma or focal fatty infiltration, but we are not sure. It probably was not related to the vaccine, but the test was due to nausea over the last month. cut off by CDC
Healthcare visit (other): Outpatient ultrasound
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had a fever over 101 F on Friday but couldn't find a way to report it
Healthcare visit (other): I tried to get healthcare but was asked to cancel my appt due to high demand
Release 10 — day 21, dose 3
Symptoms: Consistent with viral illness, new anemia (not covid based on PCR testing)
Release 12 — 12 months, dose 3
Symptoms: Covid 19
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Anaemia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hepatic mass | ✓ | · | ✓ |
| SD | Liver abscess | ○ | ✓ | ○ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Ultrasound scan abnormal | ✓ | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release