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6P5-26606-52571

1 vaccination 6 coded responses 9 check-ins 6 free-text entries 6 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
232 / VA
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Survey response — day 7, dose 1
    MedDRA: Headache, Pain, Self-medication — Feeling: Fair · Headache · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): I have had the headache for a week. It started the afternoon that I got the vaccine and is still continuing today...a week later. I continue my normal activities, but the headache is very intense at times.. · Healthcare visit (other): I have been treating with Tylenol. It eases the pain, but does not eliminate it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-11
    Report sent to call center — day 7, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Headache, Office visit — 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 consultation
    Free text: Symptoms: My first vaccine was on March 4. I developed a headache that afternoon and it has never gone away. No medication will make it go away. Since I have had the headache for two weeks, my doctor ordered a CT scan. · Healthcare visit (other): Consultation with doctor and CT scan ordered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Report sent to call center — day 14, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-03-25
    Survey response — day 21, dose 1
    MedDRA: Headache, Office visit — 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 visit
    Free text: Symptoms: Still have the headache that first appeared on Mar. 4 after my vaccine · Healthcare visit (other): PCP visit also
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  9. 2021-04-01
    Survey response — day 28, dose 1
    MedDRA: Computerised tomogram, Headache, Medical counselling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: I still have the non-stop headache that started after my first vaccine shot on March 4. We had to cancel my second shot scheduled for today because the headache from the first shot has not gone away yet. · Healthcare visit (other): PCP, CT scan, PT, RX
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-01
    Report sent to call center — day 28, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  11. 2021-04-09
    Survey response — day 35, dose 1
    MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Still have the headache that started over a month ago after my first vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-09
    Report sent to call center — day 35, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-04-16
    Survey response — day 42, dose 1
    MedDRA: Headache — 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 consultation, Outpatient clinic or urgent care clinic visit
    Free text: Headache since first vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-16
    Report sent to call center — day 42, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-06-03
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-06-08
  17. 2021-06-10
  18. 2021-06-11
    Call successful
    Does not wish to fill out VAERS report
  19. 2021-09-04
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  20. 2022-03-04
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna

Call center

6 call center cases

6 successful

See the call center timeline

Free text

Release 5 — day 7, dose 1

2021-03-11

Systemic reaction (other): I have had the headache for a week. It started the afternoon that I got the vaccine and is still continuing today...a week later. I continue my normal activities, but the headache is very intense at times..
Healthcare visit (other): I have been treating with Tylenol. It eases the pain, but does not eliminate it.

Release 5 — day 14, dose 1

2021-03-18

Symptoms: My first vaccine was on March 4. I developed a headache that afternoon and it has never gone away. No medication will make it go away. Since I have had the headache for two weeks, my doctor ordered a CT scan.
Healthcare visit (other): Consultation with doctor and CT scan ordered.

Release 6 — day 21, dose 1

2021-03-25

Symptoms: Still have the headache that first appeared on Mar. 4 after my vaccine
Healthcare visit (other): PCP visit also

Release 6 — day 28, dose 1

2021-04-01

Symptoms: I still have the non-stop headache that started after my first vaccine shot on March 4. We had to cancel my second shot scheduled for today because the headache from the first shot has not gone away yet.
Healthcare visit (other): PCP, CT scan, PT, RX

Release 7 — day 35, dose 1

2021-04-09

Symptoms: Still have the headache that started over a month ago after my first vaccine.

Release 7 — day 42, dose 1

2021-04-16

Symptoms: Headache since first vaccine

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
HCVOComputerised tomogram ✓ ✓ ✓
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOPain ✓ ✓ ✓
HCVOSelf-medication ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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