6VN-22336-36222
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 926 / CA
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Dose 1 — Moderna
-
2021-03-06
Registered in v-safe
- 2021-03-06
-
2021-03-13
Survey response — day 14, dose 1MedDRA: Pain in extremity, Self-medication — Feeling: GoodFree text: At day 9 I had arm pain again. I had to take tylenol to calm it downMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Left armpit lymph node is swollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-03
Survey response — day 7, dose 2MedDRA: Headache, Sinusitis — Feeling: Fair · HeadacheFree text: Headaches are due to sinuses infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-05-01
-
2021-05-08
Survey response — day 42, dose 2MedDRA: Fatigue, Feeling abnormal, Inflammation, Myalgia, Stress — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Since the 2nd vaccine I haven't felt right. Not sick, just very tired and alot of inflammation that comes and goes. Muscle aches which causes me stress.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-26
Survey response — 3 months, dose 2MedDRA: Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had a period. I haven't had one since 11/2019 after the 2nd vaccine I started one shortly after. I spoke with a doctor who told me it was a common side effects. So far that's been the only one.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
- 2021-07-08
- 2021-09-25
-
2021-12-04
Dose 3 — Moderna
- 2022-03-28
-
2022-12-11
Dose 4 — Moderna
-
2022-12-21
Health check-in — day 7, dose 4Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, NauseaAdult check-in
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2022-12-25
Health check-in — day 14, dose 4Feeling: FairFree text: GI issues and nerve hurting on left side. Didn't have before Moderna BivalentAdult check-in · check-in free text available
- 2023-01-01
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2023-01-08
Survey response — day 28, dose 4MedDRA: Cough, Feeling abnormal, Gastrointestinal disorder, Nausea — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-01-08
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2023-01-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2023-01-09
Call successfulCompleted over the phone
- 2023-01-15
- 2023-01-22
- 2023-03-12
- 2023-06-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-12-11 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 14, dose 1
Symptoms: At day 9 I had arm pain again. I had to take tylenol to calm it down
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Left armpit lymph node is swollen
Release 6 — day 7, dose 2
Systemic reaction (other): Headaches are due to sinuses infection
Release 8 — day 42, dose 2
Symptoms: Since the 2nd vaccine I haven't felt right. Not sick, just very tired and alot of inflammation that comes and goes. Muscle aches which causes me stress.
Release 9 — 3 months, dose 2
Symptoms: I had a period. I haven't had one since 11/2019 after the 2nd vaccine I started one shortly after. I spoke with a doctor who told me it was a common side effects. So far that's been the only one.
Release 12 — day 14, dose 4
Symptoms: GI issues and nerve hurting on left side. Didn't have before Moderna Bivalent
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 | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release