6SE-21184-39374
5 vaccinations
11 coded responses
52 check-ins
11 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 730 / OK
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-12
Registered in v-safe
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-13
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme WeaknessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Fair · Site: Swelling · Headache, NauseaFree text: Upset stomach but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-06
-
2021-10-22
Dose 3 — Moderna
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2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain, Chills, Headache — Feeling: Fair · Site: Pain · Chills, Headache, Abdominal pain · Be unable to do your normal daily activitiesFree text: Experienced chills, headache, abdominal pain starting Saturday and lessening today.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper — Feeling: Good · Site: PainFree text: Some stomach cramping continues.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Pruritus, Rash — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Rash all over body and terrible itching. This has actually been going on for about 11 days now. I had itching and tiny bumps. Didn't realize until several days ago tiny bumps are a rash.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-10
-
2021-11-12
Survey response — day 21, dose 3MedDRA: Office visit, Pruritus, Rash — 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: Symptoms: Rash all over and uncontrollable itching continues. Have seen 2 Dr's for this. · Healthcare visit (other): In person office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-12
Report sent to call center — day 21, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-15
-
2021-11-15
Call successfulReported to VAERS voluntarily prior to GDIT contact
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2021-11-20
Survey response — day 28, dose 3MedDRA: Emergency care, Insomnia, Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: Rash and itching continue. I couldn't get in to see my Dr yesterday as he was booked solid so I went to ER yesterday. · Healthcare visit (other): The itching is relentless and causing sleepless nights.MedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2021-11-22
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Office visit, Pruritus, Rash — Feeling: FairFree text: I am weaning off Prednisone for itching and rash. Unfortunately the itching is starting back a little. I will likely need to schedule yet another Dr appointment next week. I wish you had guidance for this issue from the vaccine. Very frustrating.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-03
Survey response — day 42, dose 3MedDRA: Pruritus, Rash — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Constant Rash and itching worseMedDRA releases: 2024-11 · check-in free text available
- 2022-01-24
- 2022-04-22
-
2022-05-03
Dose 4 — Moderna
- 2022-05-15
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
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2022-08-02
Survey response — 3 months, dose 4MedDRA: Office visit, Vertigo — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Vertigo · Healthcare visit (other): In person Dr visitsMedDRA releases: 2024-11 · check-in free text available
-
2022-08-02
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-03
- 2022-08-03
- 2022-08-03
- 2022-08-03
-
2022-10-14
Dose 5 — Moderna
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Flushing — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesFree text: Felt flush in face earlier todayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-05
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Call center
5 call center cases
2 successful · 2 unsuccessful · 1 priority 2/3 (triaged and no follow up)
VAERS report filed, before or during a call: 2
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme Weakness
Systemic reaction (other): Upset stomach but not painful
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Experienced chills, headache, abdominal pain starting Saturday and lessening today.
Systemic reaction (other): Some stomach cramping continues.
Release 10 — day 14, dose 3
Symptoms: Rash all over body and terrible itching. This has actually been going on for about 11 days now. I had itching and tiny bumps. Didn't realize until several days ago tiny bumps are a rash.
Release 10 — day 21, dose 3
Symptoms: Rash all over and uncontrollable itching continues. Have seen 2 Dr's for this.
Healthcare visit (other): In person office visit
Release 10 — day 28, dose 3
Symptoms: Rash and itching continue. I couldn't get in to see my Dr yesterday as he was booked solid so I went to ER yesterday.
Healthcare visit (other): The itching is relentless and causing sleepless nights.
Release 10 — day 35, dose 3
Symptoms: I am weaning off Prednisone for itching and rash. Unfortunately the itching is starting back a little. I will likely need to schedule yet another Dr appointment next week. I wish you had guidance for this issue from the vaccine. Very frustrating.
Release 10 — day 42, dose 3
Symptoms: Constant Rash and itching worse
Release 12 — 3 months, dose 4
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Felt flush in face earlier today
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 | Insomnia | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Pruritus | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release