6SP-13868-86864
3 vaccinations
9 coded responses
37 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 068 / CT
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Neck pain — Feeling: Good · Fatigue or tirednessFree text: Little lightheaded yesterday. Achey neck areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · NauseaFree text: Felt nausea for about 1/2 hour this morning ...nothing badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Dose 2 — Moderna
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: 0 energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Chest pain, Painful respiration — Feeling: Good · Fatigue or tirednessFree text: If I take a deep breathe my chest would hurt. .. but its doing better as the day goes on.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
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2021-03-27
Survey response — day 14, dose 2MedDRA: Chest discomfort, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I feel a heaviness in my chest once in awhile... It could be allergies, not sure. I did call my Dr . He said I should go to the ER but I waited and it did get a little better....MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
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2021-06-14
Survey response — 3 months, dose 2MedDRA: Dyspnoea — Feeling: GoodFree text: A little out of breath when walking up a hill and I never felt that until I got the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-13
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2022-01-19
Call successfulParticipant prefers to complete VAERS report online
- 2022-03-13
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2022-03-21
Dose 3 — Moderna
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2022-03-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2022-03-23
- 2022-03-24
- 2022-03-25
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2022-03-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-03-27
- 2022-03-28
- 2022-04-04
- 2022-04-11
- 2022-04-18
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2022-04-25
Survey response — day 35, dose 3MedDRA: Chest discomfort, Dyspnoea exertional — Feeling: FairFree text: Swimming in my moms pool I felt out of breath after 1 lap I never felt that way before. Taking a deep breath my chest felt strange.MedDRA releases: 2024-11 · check-in free text available
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2022-05-03
Survey response — day 42, dose 3MedDRA: Exercise tolerance decreased, Fatigue — Feeling: GoodFree text: Swimming in a pool I was tired a lot sooner than usual.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-20
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2022-09-19
Survey response — 6 months, dose 3MedDRA: Dyspnoea exertional, Fatigue — Feeling: GoodFree text: Tired ? sometimes a shortness of breathe walking up hillMedDRA releases: 2024-11 · check-in free text available
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2022-03-21 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Little lightheaded yesterday. Achey neck area
Systemic reaction (other): Felt nausea for about 1/2 hour this morning ...nothing bad
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 0 energy
Systemic reaction (other): If I take a deep breathe my chest would hurt. .. but its doing better as the day goes on.
Release 6 — day 14, dose 2
Symptoms: I feel a heaviness in my chest once in awhile... It could be allergies, not sure. I did call my Dr . He said I should go to the ER but I waited and it did get a little better....
Release 9 — 3 months, dose 2
Symptoms: A little out of breath when walking up a hill and I never felt that until I got the shot
Release 11 — day 35, dose 3
Symptoms: Swimming in my moms pool I felt out of breath after 1 lap I never felt that way before. Taking a deep breath my chest felt strange.
Release 11 — day 42, dose 3
Symptoms: Swimming in a pool I was tired a lot sooner than usual.
Release 12 — 6 months, dose 3
Symptoms: Tired ? sometimes a shortness of breathe walking up hill
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea exertional | · | · | ✓ |
| SD | Exercise tolerance decreased | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Painful respiration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release