6WW-21054-16669
4 vaccinations
9 coded responses
51 check-ins
8 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 511 / IA
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Heart rate increased — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: High heart rateMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: SARS-CoV-2 test negative, Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Took rapid Covid test that was negative. Seeing doctor for possible sinus infection todayMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — day 7, dose 3MedDRA: Sinusitis — Feeling: Fair · Headache, Fatigue or tiredness, NauseaFree text: Diagnosed with sinus infectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-19
- 2021-11-28
- 2021-12-03
- 2021-12-10
-
2022-01-30
Survey response — 3 months, dose 3MedDRA: Nasal turbinate hypertrophy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Turbinate Hypertrophy · Healthcare visit (other): Steroid injection procedureMedDRA releases: 2024-11 · check-in free text available
-
2022-01-30
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-02-01
Call successfulDoes not wish to fill out VAERS report
- 2022-05-01
-
2022-09-09
Dose 4 — Pfizer-BioNTech
-
2022-09-09
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2022-09-10
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Elevated heart rate of 120 while resting and at least 140 while doing light activity.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-10
Report sent to call center — days 1–6 daily, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-09-11
Survey response — days 1–6 daily, dose 4MedDRA: Heart rate increased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Heart rate still elevated, but not as high as yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, ItchingFree text: Forgot to note bruising at injection site starting the day after and continuing through today. Injection site is also warm to the touch.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-12
Call successfulCompleted over the phone
-
2022-09-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 4MedDRA: Sinus congestion, Sinus headache — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus congestion and headacheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-09
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-12
-
2023-03-10
Survey response — 6 months, dose 4MedDRA: Iron deficiency anaemia — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-09 | Pfizer-BioNTech | No |
Call center
3 call center cases
2 successful · 1 unsuccessful
VAERS report filed, before or during a call: 1
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): High heart rate
Systemic reaction (other): Took rapid Covid test that was negative. Seeing doctor for possible sinus infection today
Release 10 — day 7, dose 3
Systemic reaction (other): Diagnosed with sinus infection
Release 11 — 3 months, dose 3
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Elevated heart rate of 120 while resting and at least 140 while doing light activity.
Systemic reaction (other): Heart rate still elevated, but not as high as yesterday
Systemic reaction (other): Forgot to note bruising at injection site starting the day after and continuing through today. Injection site is also warm to the touch.
Release 12 — 3 months, dose 4
Symptoms: Sinus congestion and headache
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 | Iron deficiency anaemia | · | · | ✓ |
| SD | Nasal turbinate hypertrophy | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Sinusitis | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release