6RH-57668-14134
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 190 / PA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Registered in v-safe
-
2021-02-06
Dose 1 — Moderna
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-12
- 2021-02-13
- 2021-02-20
- 2021-02-27
-
2021-03-06
Dose 2 — Moderna
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-29
-
2021-04-07
Survey response — day 28, dose 2MedDRA: Migraine — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Massive migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — day 35, dose 2MedDRA: Dizziness, Migraine, Rash, Rash pruritic, Vertigo — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: In week three I woke up and was dizzy as if I had vertigo. Then another day I got a severe migraine and now I have a itching rash that has spread to both legs, hips and traveling up to my stomach.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-17
Survey response — day 42, dose 2MedDRA: Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I have a rash that started during week three post vaccine. It started on right leg in a small spots. I am now in the beginning of week three and it has spread to other parts of body. I am now using a prescription steroid to control it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Rash, Rash pruritic — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a itching rash all over my body for about 3 1/2 weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-12-20
Call successfulParticipant prefers to complete VAERS report online
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2022-03-08
Survey response — 12 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: At night My arm becomes sore at the spot where I had both shots.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Call center
3 call center cases
3 successful
Free text
Release 7 — day 28, dose 2
Symptoms: Massive migraine
Release 7 — day 35, dose 2
Symptoms: In week three I woke up and was dizzy as if I had vertigo. Then another day I got a severe migraine and now I have a itching rash that has spread to both legs, hips and traveling up to my stomach.
Release 7 — day 42, dose 2
Symptoms: I have a rash that started during week three post vaccine. It started on right leg in a small spots. I am now in the beginning of week three and it has spread to other parts of body. I am now using a prescription steroid to control it.
Release 8 — 3 months, dose 2
Symptoms: I had a itching rash all over my body for about 3 1/2 weeks.
Release 11 — 12 months, dose 2
Symptoms: At night My arm becomes sore at the spot where I had both shots.
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 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release