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6LY-44077-65758

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
904 / CA
Registered
2021-02-17
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Registered in v-safe
  2. 2021-02-17
    Dose 1 — Moderna
  3. 2021-02-17
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  5. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Ear discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Still have pressure in my ears, and a little off balance.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  7. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  8. 2021-02-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Impaired driving ability, Paranasal sinus discomfort — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Less sinus pressure and ear pressure. I felt well enough to drive a short distance today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-02-24
    Survey response — day 7, dose 1
    MedDRA: Balance disorder — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: A little off balance.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — day 14, dose 1
    MedDRA: Erythema, Oedema peripheral — Feeling: Fair
    Free text: My arm is still red and slightly swollen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-03-17
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-03-19
    Dose 2 — Moderna
  15. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Dizziness, Feeling abnormal — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Dizzy, fuzzy, off balance. I slipped off a paver and twisted my left foot. My foot has been swollen for 3 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-24
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-04-11
    Survey response — day 21, dose 2
    MedDRA: Ear discomfort, Infection, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Infection in the synovial fluid of the first joint of the middle finger. Antibiotics causing pressure in both ears, and swelling of both hands. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-11
    Report sent to call center — day 21, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-04-17
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2022-03-10
  27. 2022-03-22
    Survey response — 12 months, dose 2
    MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Rash
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-22
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2022-03-23
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-19Moderna

Call center

3 call center cases

3 successful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): Still have pressure in my ears, and a little off balance.

2021-02-22

Systemic reaction (other): Less sinus pressure and ear pressure. I felt well enough to drive a short distance today.

Release 4 — day 7, dose 1

2021-02-24

Systemic reaction (other): A little off balance.

Release 5 — day 14, dose 1

2021-03-03

Symptoms: My arm is still red and slightly swollen.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): Dizzy, fuzzy, off balance. I slipped off a paver and twisted my left foot. My foot has been swollen for 3 days.

Release 7 — day 21, dose 2

2021-04-11

Symptoms: Infection in the synovial fluid of the first joint of the middle finger. Antibiotics causing pressure in both ears, and swelling of both hands.
Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-03-22

Symptoms: Rash

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
HCVOOffice visit ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDInfection ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDPeripheral swelling ✓ ✓ ✓
SDRash · · ✓
SROBalance disorder ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROImpaired driving ability ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓

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