6PP-82850-99024
3 vaccinations
10 coded responses
28 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 310 / GA
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-13
Dose 1 — Moderna
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2021-02-10
Dose 2 — Moderna
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2021-02-13
Registered in v-safe
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Nausea, Pain, Pyrexia — Feeling: Good · Site: Redness, Itching · ChillsFree text: First two days after the shot were very difficult. High fever, headache, body aches, nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
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2022-02-10
Survey response — 12 months, dose 2MedDRA: Fatigue, Pain, Pyrexia, Vertigo — Feeling: FairFree text: Periodic fatigue, aches, low grade fever, vertigo. Symptoms go away after 8+ hours of sleep. May have been fighting off COVID thanks to the vaccine and flu shot.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Dose 3 — Moderna
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2022-04-28
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Stabbing pain in my left breast.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — days 1–6 daily, dose 3MedDRA: Breast tenderness, Injection site induration, Injection site nodule — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breasts are sensitive, shot site is a firm knotMedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Survey response — days 1–6 daily, dose 3MedDRA: Breast tenderness — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Breasts are still sensitive.MedDRA releases: 2024-11 · check-in free text available
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2022-05-01
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteFree text: 4 inches below the shot site there is a warm red burning patch of skin.MedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteFree text: The redness is below the injection site.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — days 1–6 daily, dose 3MedDRA: Rash, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash below the injection site is fading. It itches occasionally. It gets better each day.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-26
- 2022-06-01
- 2022-06-08
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2022-07-27
Survey response — 3 months, dose 3MedDRA: Discharge, Fatigue, Headache, Office visit, Oral lichen planus, SARS-CoV-2 test negative — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: 1. Oral lichen planus on cheeks and tongue. 2. Fatigue, drainage, mild headache, negative COVID home test. · Healthcare visit (other): Visit with my dentist, an Oral surgeon and oral pathologistMedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2022-07-28
Call successfulCompleted over the phone
- 2022-10-29
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2022-04-27 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Systemic reaction (other): First two days after the shot were very difficult. High fever, headache, body aches, nausea.
Release 11 — 12 months, dose 2
Symptoms: Periodic fatigue, aches, low grade fever, vertigo. Symptoms go away after 8+ hours of sleep. May have been fighting off COVID thanks to the vaccine and flu shot.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Stabbing pain in my left breast.
Systemic reaction (other): Breasts are sensitive, shot site is a firm knot
Systemic reaction (other): Breasts are still sensitive.
Systemic reaction (other): 4 inches below the shot site there is a warm red burning patch of skin.
Systemic reaction (other): The redness is below the injection site.
Systemic reaction (other): Rash below the injection site is fading. It itches occasionally. It gets better each day.
Release 12 — 3 months, dose 3
Symptoms: 1. Oral lichen planus on cheeks and tongue. 2. Fatigue, drainage, mild headache, negative COVID home test.
Healthcare visit (other): Visit with my dentist, an Oral surgeon and oral pathologist
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 | Discharge | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oral lichen planus | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release