755-20736-37310
4 vaccinations
9 coded responses
39 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 930 / CA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Dose 1 — Moderna
-
2021-04-22
Dose 2 — Moderna
-
2021-04-23
Registered in v-safe
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Hunger — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: Very hungryMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Oropharyngeal pain — Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessFree text: Slightly Dizzy, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tiredness, NauseaAdult check-in
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: Really dizzy, even when I am sitting for a while and not hungry or low blood sugar.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Continue to experience Lightheaded, dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: Swelling, ItchingFree text: Dizzy and lightheaded, even after some normal movements of headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — day 7, dose 2MedDRA: Dizziness, Vertigo — Feeling: FairFree text: Dizzy and vertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
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2021-05-13
Survey response — day 21, dose 2MedDRA: Dizziness, Dizziness postural — Feeling: GoodFree text: The dizziness spells comes back sometime, and I experienced significant longer time to re-balance myself after standing up/moving my head etc.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-27
- 2021-06-04
- 2021-07-22
- 2021-10-21
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2021-11-19
Dose 3 — Moderna
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2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Poor · Site: Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Report sent to call center — days 1–6 daily, dose 3Be 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)
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Joint pains, Muscle or body achesAdult check-in
- 2021-11-24
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2021-11-24
Call successfulCompleted over the phone
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2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Chest pain — Feeling: Good · Site: Itching · Joint painsFree text: Chest painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-19
- 2021-12-24
- 2021-12-31
- 2022-02-18
- 2022-05-20
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2022-10-27
Dose 4 — Pfizer-BioNTech
- 2022-10-27
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2022-10-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-26
- 2022-12-01
- 2022-12-08
- 2023-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-27 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-22 | Successful 2021-11-24 |
Completed over the phone |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Very hungry
Systemic reaction (other): Slightly Dizzy, sore throat
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Really dizzy, even when I am sitting for a while and not hungry or low blood sugar.
Systemic reaction (other): Continue to experience Lightheaded, dizzy
Systemic reaction (other): Dizzy and lightheaded, even after some normal movements of head
Release 8 — day 7, dose 2
Systemic reaction (other): Dizzy and vertigo
Release 8 — day 21, dose 2
Symptoms: The dizziness spells comes back sometime, and I experienced significant longer time to re-balance myself after standing up/moving my head etc.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Chest pain
Systemic reaction (other): Chest pain
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Dizziness postural | ✓ | ✓ | ✓ |
| SRO | Chest pain | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release