6NY-23190-38467
5 vaccinations
17 coded responses
35 check-ins
16 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 940 / CA
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Dose 1 — Moderna
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2021-03-08
Registered in v-safe
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2021-03-08
Survey response — day 7, dose 1MedDRA: Nausea — Feeling: Poor · NauseaFree text: Persistent nausea for more than 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
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2021-03-19
Survey response — day 21, dose 1MedDRA: Abdominal pain, Body temperature fluctuation, Dizziness, Self-medication — Feeling: Poor · 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: 1. I had severe abdominal cramps that were unusual. They resolved after taking ibuprofen and resting for an hour. 2. I feel light headed sometimes. 3. My body temperature is fluctuating frequently from very cold to very warm in the same room.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Dose 2 — Moderna
- 2021-03-26
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy, Neck pain — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Sore neck and swollen glands in neck. Pain in underarm of arm that had the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Muscle or body aches, NauseaFree text: Light headed/dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 2MedDRA: Fatigue — Feeling: FairFree text: Intense Fatigue in the afternoon and eveningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
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2021-04-30
Survey response — day 35, dose 2MedDRA: Disturbance in attention, Fatigue — Feeling: FairFree text: #NAME?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Nausea — Feeling: FairFree text: Occasional nausea for unknown reasonsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-26
Survey response — 6 months, dose 2MedDRA: Nausea, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I felt nauseated two times for a half a day each time. It reminded me of the reaction I had to the first Moderna vaccination.MedDRA releases: 2024-11 · check-in free text available
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2021-11-18
Dose 3 — Moderna
- 2022-03-03
- 2022-03-07
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2022-03-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-03-26
Survey response — 12 months, dose 2MedDRA: Asthenia, Fatigue — Feeling: GoodFree text: Debilitating FatigueMedDRA releases: 2024-11 · check-in free text available
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2022-04-14
Dose 4 — Pfizer-BioNTech
- 2022-04-26
- 2022-04-28
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2022-05-05
Survey response — day 21, dose 4MedDRA: Fatigue, Nausea — Feeling: FairFree text: Feeling frequently nauseous Feeling more fatiguedMedDRA releases: 2024-11 · check-in free text available
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2022-05-12
Survey response — day 28, dose 4MedDRA: Ear disorder, Fatigue, Oropharyngeal pain — Feeling: PoorFree text: Noticeable and unusual fatigue has persisted throughout the week. It has gotten worse in the past few days. Yesterday, I developed a sore throat that hurts more on one side. The sore throat is worse today and is starting to slightly affect my ears.MedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Survey response — day 35, dose 4MedDRA: Oropharyngeal pain — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-20
- 2022-05-20
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2022-05-20
Call successfulCompleted over the phone
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2022-07-16
Survey response — 3 months, dose 4MedDRA: Road traffic accident, Wound infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have a skin wound from a bike accident that's likely infected. I'm going to urgent care to get it treated today.MedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-18
- 2022-07-18
- 2022-07-18
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2022-10-05
Dose 5 — Moderna
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2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Lymph node pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Pain in the lymph node in the underarm of the injection arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-21
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2022-11-02
Survey response — day 28, dose 5MedDRA: Gastroenteritis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: GastroenteritisMedDRA releases: 2024-11 · check-in free text available
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2022-11-09
Survey response — day 35, dose 5MedDRA: Diarrhoea, Fatigue, Headache, Oropharyngeal pain — Feeling: FairFree text: Mild Sore throat, headache, fatigue, diarrheaMedDRA releases: 2024-11 · check-in free text available
- 2022-11-19
- 2023-01-04
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2023-04-05
Survey response — 6 months, dose 5MedDRA: Diarrhoea, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-05
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-04-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-05 | Moderna | No |
Call center
4 call center cases
2 successful · 2 unsuccessful
VAERS report filed, before or during a call: 1
1 wait over 3 months for a first call
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Persistent nausea for more than 3 days
Release 6 — day 21, dose 1
Symptoms: 1. I had severe abdominal cramps that were unusual. They resolved after taking ibuprofen and resting for an hour. 2. I feel light headed sometimes. 3. My body temperature is fluctuating frequently from very cold to very warm in the same room.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sore neck and swollen glands in neck. Pain in underarm of arm that had the injection
Systemic reaction (other): Light headed/dizzy
Release 7 — day 14, dose 2
Symptoms: Intense Fatigue in the afternoon and evening
Release 8 — day 35, dose 2
Symptoms: #NAME?
Release 9 — 3 months, dose 2
Symptoms: Occasional nausea for unknown reasons
Release 9 — 6 months, dose 2
Symptoms: I felt nauseated two times for a half a day each time. It reminded me of the reaction I had to the first Moderna vaccination.
Release 11 — 12 months, dose 2
Symptoms: Debilitating Fatigue
Release 11 — day 21, dose 4
Symptoms: Feeling frequently nauseous Feeling more fatigued
Release 11 — day 28, dose 4
Symptoms: Noticeable and unusual fatigue has persisted throughout the week. It has gotten worse in the past few days. Yesterday, I developed a sore throat that hurts more on one side. The sore throat is worse today and is starting to slightly affect my ears. cut off by CDC
Release 11 — day 35, dose 4
Symptoms: Sore throat
Release 12 — 3 months, dose 4
Symptoms: I have a skin wound from a bike accident that's likely infected. I'm going to urgent care to get it treated today.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Pain in the lymph node in the underarm of the injection arm.
Release 12 — day 28, dose 5
Symptoms: Gastroenteritis
Release 12 — day 35, dose 5
Symptoms: Mild Sore throat, headache, fatigue, diarrhea
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Body temperature fluctuation | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear disorder | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gastroenteritis | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Road traffic accident | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Wound infection | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release