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
-
2021-01-27
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 1MedDRA: 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 · HospitalizationFree 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
-
2021-02-17
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-27
Dose 2 — Moderna
- 2021-03-04
- 2021-03-13
-
2021-03-21
Survey response — day 21, dose 2MedDRA: Fatigue, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Tired and fatigued a little nauseousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
-
2021-04-11
Survey response — day 42, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-29
- 2021-08-06
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2021-08-28
Survey response — 6 months, dose 2MedDRA: Appendicectomy — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Appendix taken out.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-28
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Call successfulDoes not wish to fill out VAERS report
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2022-02-27
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
-
2022-02-27
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Call center
3 call center cases
2 successful · 1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 21, dose 1
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
Symptoms: Tired and fatigued a little nauseous
Release 7 — day 42, dose 2
Symptoms: Diarrhea
Release 9 — 6 months, dose 2
Symptoms: Appendix taken out.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Appendicectomy | ✓ | · | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Extrasystoles | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Throat tightness | ✓ | ✓ | ✓ |
| SD | Vulvovaginal discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release