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6WZ-60214-52214

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
320 / FL
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-10
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-17
    Survey response — day 21, dose 1
    MedDRA: Chest discomfort, Hospitalisation, Limb discomfort, Throat tightness, Vulvovaginal discomfort — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Tightness in throat,left side chest, left arm. Hospitalized and ran EKG, ECHO and stress test. All results were good. Also I developed a cyst in the vaginal area 4 or 5 days after I got the first shot. I've never have had this before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-17
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-02-27
    Dose 2 — Moderna
  9. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Nausea, Diarrhea
    Adult check-in
  10. 2021-03-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-21
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Tired and fatigued a little nauseous
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-11
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-06
  17. 2021-08-28
    Survey response — 6 months, dose 2
    MedDRA: Appendicectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    Free text: Appendix taken out.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-28
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-31
    Call successful
    Does not wish to fill out VAERS report
  20. 2022-02-27
    Survey response — 12 months, dose 2
    MedDRA: Extrasystoles, Office visit, Palpitations — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Heart racing and skipping beats. Cardiologist thinks it's from omnicron I had Dec 22. He is monitoring me.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-27
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-03-01

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-27Moderna

Call center

3 call center cases

2 successful · 1 unsuccessful

1 wait over 3 months for a first call

See the call center timeline

Free text

Release 4 — day 21, dose 1

2021-02-17

Symptoms: Tightness in throat,left side chest, left arm. Hospitalized and ran EKG, ECHO and stress test. All results were good. Also I developed a cyst in the vaginal area 4 or 5 days after I got the first shot. I've never have had this before.

Release 6 — day 21, dose 2

2021-03-21

Symptoms: Tired and fatigued a little nauseous

Release 7 — day 42, dose 2

2021-04-11

Symptoms: Diarrhea

Release 9 — 6 months, dose 2

2021-08-28

Symptoms: Appendix taken out.

Release 11 — 12 months, dose 2

2022-02-27

Symptoms: Heart racing and skipping beats. Cardiologist thinks it's from omnicron I had Dec 22. He is monitoring me.

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

FieldPreferred term2021-092023-042024-11
SDAppendicectomy ✓ · ✓
SDChest discomfort ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDExtrasystoles · · ✓
SDFatigue ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDLimb discomfort ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOffice visit · · ✓
SDPalpitations · · ✓
SDThroat tightness ✓ ✓ ✓
SDVulvovaginal discomfort ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release