E56-11065-42279
5 vaccinations
8 coded responses
69 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 065 / CT
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Muscle spasms — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Muscle spasms near injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Limb discomfort — Feeling: Good · Joint pains, Muscle or body achesFree text: Feeling of heaviness throughout injection site armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — day 7, dose 1MedDRA: Ophthalmic migraine — Feeling: Fair · HeadacheFree text: Visual migraine (have never had one before)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-06
-
2021-05-07
Dose 2 — Moderna
- 2021-05-07
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
-
2021-06-11
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Pyrexia — Feeling: FairFree text: Fever, headache, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
- 2021-08-06
- 2021-11-05
-
2021-11-29
Dose 3 — Pfizer-BioNTech
- 2021-11-29
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-12-01
- 2021-12-02
- 2021-12-03
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-02-28
- 2022-05-30
-
2022-06-19
Dose 4 — Moderna
- 2022-06-19
-
2022-06-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-21
Survey response — days 1–6 daily, dose 4MedDRA: Angina pectoris — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessFree text: Heart painMedDRA releases: 2024-11 · check-in free text available
- 2022-06-22
- 2022-06-23
- 2022-06-24
- 2022-06-25
- 2022-06-26
- 2022-07-03
- 2022-07-10
- 2022-07-17
- 2022-07-24
- 2022-07-31
- 2022-09-18
-
2022-10-10
Dose 5 — Moderna
- 2022-10-10
-
2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-12
-
2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness · Fever · Fatigue or tirednessAdult check-in
- 2022-10-14
-
2022-10-15
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness — Feeling: Good · Site: Pain · Fever · Fatigue or tirednessFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-17
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
-
2023-01-09
Survey response — 3 months, dose 5MedDRA: Mastitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-01-09
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · 1 call case(s)
-
2023-01-10
Call successfulCompleted over the phone
-
2023-04-10
Survey response — 6 months, dose 5MedDRA: Graves' disease — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-10
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2023-04-11
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-07 | Moderna | |
| 3 | 2021-11-29 | Pfizer-BioNTech | No |
| 4 | 2022-06-19 | Moderna | No |
| 5 | 2022-10-10 | Moderna | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle spasms near injection site
Systemic reaction (other): Feeling of heaviness throughout injection site arm
Release 7 — day 7, dose 1
Systemic reaction (other): Visual migraine (have never had one before)
Release 9 — day 35, dose 2
Symptoms: Fever, headache, fatigue
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Heart pain
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Dizziness
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Graves' disease | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mastitis | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Angina pectoris | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | ✓ | ✓ | ✓ |
| SRO | Ophthalmic migraine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release