6UV-73108-67543
4 vaccinations
12 coded responses
46 check-ins
11 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 532 / WI
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
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2021-03-18
Survey response — day 14, dose 1MedDRA: Asthenia, Fatigue, Headache, Migraine — Feeling: Good · Be unable to workFree text: Fatigue, low energy, headache/migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
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2021-04-01
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None as of about 90 minutes after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Muscle or body achesAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Myalgia — Feeling: Good · Muscle or body achesFree text: Muscle ache seems to be from overuse of arm muscles when moving the arm after injection to aviod injection site pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
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2021-04-29
Survey response — day 28, dose 2MedDRA: Fatigue, Headache, Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Continuing migraine and pro-migraine, headache, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-06
Survey response — day 35, dose 2MedDRA: Anosmia, Disturbance in attention, Fatigue, Headache, Sensitisation — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Fatigue, difficulty focusing on tasks, headache, sensitivity to scents and soundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Dysmenorrhoea, Headache, Intermenstrual bleeding — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, menstrual cramps (despite hormonal birth control), menstrual spotting (despite hormonal birth control and no periods for years).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-12-17
Dose 3 — Moderna
- 2021-12-17
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-24
- 2021-12-31
- 2022-01-07
- 2022-01-16
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2022-01-21
Survey response — day 35, dose 3MedDRA: Headache, Migraine — Feeling: Fair · Be unable to work or attend school, 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: Increased frequency and severity of headache, migraineMedDRA releases: 2024-11 · check-in free text available
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2022-01-21
Report sent to call center — day 35, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-01-30
- 2022-03-18
- 2022-06-17
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2022-09-09
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-29
Survey response — day 14, dose 4MedDRA: Allergic respiratory symptom, Cough, Migraine, Oropharyngeal pain, Rhinorrhoea, Sinus disorder, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Allery-like sinus symptoms, including sore throat, running nose, sneezing, cough. Also increased migraine frequency.MedDRA releases: 2024-11 · check-in free text available
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2022-09-29
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-09-30
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2022-10-07
Survey response — day 28, dose 4MedDRA: Impaired work ability, Loss of personal independence in daily activities, Migraine, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Increased incidence of migraine, missing two days of work/school in one week (usual occurrence is approximately once per month).MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
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2022-10-21
Survey response — day 42, dose 4MedDRA: Arthralgia, Migraine, Muscle tightness, Neck pain, Tension headache — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Significant tense muscles and soreness in neck and shoulders, leading to tension headaches and migraine.MedDRA releases: 2024-11 · check-in free text available
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2022-12-09
Survey response — 3 months, dose 4MedDRA: Cough, Headache, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school, 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: Tested positive for COVID, mild symptoms, had symptom relapse after initial improvement and medication (Paxlovid, Prednisone). Included headache, head congestion, cough, slight fever on day 1 that did not relapse. Today is day 10, still symptomaticMedDRA releases: 2024-11 · check-in free text available
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2022-12-09
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-12-12
Call successfulCompleted over the phone
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2022-12-12
Call successfulCompleted over the phone
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2023-03-10
Survey response — 6 months, dose 4MedDRA: Brain fog, Condition aggravated, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-03-10
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-03-13
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | Flu |
Call center
4 call center cases
4 successful
VAERS report filed, before or during a call: 3
Free text
Release 5 — day 14, dose 1
Symptoms: Fatigue, low energy, headache/migraine.
Release 6 — day 0, dose 2
Systemic reaction (other): None as of about 90 minutes after injection.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Muscle ache seems to be from overuse of arm muscles when moving the arm after injection to aviod injection site pain.
Release 8 — day 28, dose 2
Symptoms: Continuing migraine and pro-migraine, headache, fatigue.
Release 8 — day 35, dose 2
Symptoms: Fatigue, difficulty focusing on tasks, headache, sensitivity to scents and sound
Release 9 — 3 months, dose 2
Symptoms: Headache, menstrual cramps (despite hormonal birth control), menstrual spotting (despite hormonal birth control and no periods for years).
Release 11 — day 35, dose 3
Symptoms: Increased frequency and severity of headache, migraine
Release 12 — day 14, dose 4
Symptoms: Allery-like sinus symptoms, including sore throat, running nose, sneezing, cough. Also increased migraine frequency.
Release 12 — day 28, dose 4
Symptoms: Increased incidence of migraine, missing two days of work/school in one week (usual occurrence is approximately once per month).
Release 12 — day 42, dose 4
Symptoms: Significant tense muscles and soreness in neck and shoulders, leading to tension headaches and migraine.
Release 12 — 3 months, dose 4
Symptoms: Tested positive for COVID, mild symptoms, had symptom relapse after initial improvement and medication (Paxlovid, Prednisone). Included headache, head congestion, cough, slight fever on day 1 that did not relapse. Today is day 10, still symptomatic cut off by CDC
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 | Allergic respiratory symptom | · | · | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Disturbance in attention | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Intermenstrual bleeding | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sensitisation | ✓ | ✓ | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Tension headache | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release