G3W-16217-95564
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 921 / CA
- Registered
- 2021-06-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-06-15
Dose 1 — Moderna
-
2021-06-17
Registered in v-safe
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2021-06-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-06-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-06-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
-
2021-06-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-06-22
- 2021-06-29
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2021-07-06
Survey response — day 21, dose 1MedDRA: Pregnancy — Feeling: FairFree text: Positive pregnancy test Weird taste in mouth & smellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-13
Dose 2 — Moderna
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2021-07-13
Survey response — day 0, dose 2MedDRA: Dysgeusia, Parosmia — Feeling: Fair · Site: Pain · NauseaFree text: Taste of metal in mouth & sense of smell is weirdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Metal taste in mouth, shortness of breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-14
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-15
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia, Dyspnoea — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Metal taste in mouth, shortness of breathMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-15
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-16
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Poor · Fatigue or tiredness, NauseaFree text: Shortness of breatheMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fatigue or tiredness, Nausea, VomitingAdult check-in
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2021-07-20
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-06-15 | Moderna | |
| 2 | 2021-07-13 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 9 — day 21, dose 1
Symptoms: Positive pregnancy test Weird taste in mouth & smell
Release 9 — day 0, dose 2
Systemic reaction (other): Taste of metal in mouth & sense of smell is weird
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Metal taste in mouth, shortness of breathe
Systemic reaction (other): Metal taste in mouth, shortness of breath
Systemic reaction (other): Shortness of breathe
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 | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release