6W5-26361-83971
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 670 / KS
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-11
- 2021-01-13
- 2021-01-16
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-20
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2021-05-08
Survey response — 3 months, dose 2MedDRA: Heart rate irregular, Hypertension, Pre-existing disease — Feeling: Fair · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased hypertension and irregular heartbeat. Started approximately 4/26. I already had hypertension before Immunization. Having holter and treadmill next week. Will see cardiologist if abnormal. I also have a history of Factor 5. Will monitor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Report sent to call center — 3 months, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-09
-
2021-08-07
Survey response — 6 months, dose 2MedDRA: Cardiac flutter, Dyspnoea, Fatigue, Headache, Unevaluable event — 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 professionalFree text: Symptoms: Fluttery heart, shortness of breath, fatigue, headache · Healthcare visit (other): Heart cath, treadmill, CTA, 3 ekgs and now awaiting pulmonologist appointmentMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-07
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-16
-
2021-12-12
Call successfulParticipant prefers to complete VAERS report online
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Arthralgia, Pre-existing disease — 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: Have had increased joint pain and have had recurrent sinus and ear infections. Clears for a few days after antibiotics and steroids but seems to return.MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
Report sent to call center — 12 months, dose 2Be 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)
- 2022-02-09
- 2022-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
4 call center cases
2 successful · 1 unsuccessful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 8 — 3 months, dose 2
Symptoms: Increased hypertension and irregular heartbeat. Started approximately 4/26. I already had hypertension before Immunization. Having holter and treadmill next week. Will see cardiologist if abnormal. I also have a history of Factor 5. Will monitor.
Release 9 — 6 months, dose 2
Symptoms: Fluttery heart, shortness of breath, fatigue, headache
Healthcare visit (other): Heart cath, treadmill, CTA, 3 ekgs and now awaiting pulmonologist appointment
Release 11 — 12 months, dose 2
Symptoms: Have had increased joint pain and have had recurrent sinus and ear infections. Clears for a few days after antibiotics and steroids but seems to return.
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 | Unevaluable event | ✓ | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Cardiac flutter | ✓ | · | ✓ |
| SD | Dyspnoea | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release