MDB-36458-36625
5 vaccinations
12 coded responses
50 check-ins
11 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 403 / KY
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessFree text: The injection site is more bruised than red. The second day after the shot I also experienced dizziness and thought I was going to pass out, but didn't. Drinking water helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site discolouration, Injection site mass, Injection site swelling — Feeling: Good · Site: Redness · HeadacheFree text: the injection site is not really red. it started as a black/blue bruise with a lump. now it is more green/yellow. I suppose the bruising is slowly dissipating. the lump/swelling is also reduced.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — day 7, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Redness, ItchingFree text: bruise around injection is mostly been with a side yellow circle around it, so definitely dissipating. it was itchy a few times today, but not bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 14, dose 1MedDRA: Injection site bruising, Injection site pruritus, Injection site rash, Rash — Feeling: GoodFree text: On day 7 the injection site started itching. On day 10 I had a huge red rash around the injection site covering most of my upper arm.it went away in 48 hours. Now my arm is fine and even the initial bruising is gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-07
Dose 2 — Moderna
- 2021-04-07
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: slept 16 of the past 20 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: slept 25 of 35 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness — Feeling: GoodFree text: my hands have been unusually cold for the past few weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-10
- 2021-10-06
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2021-11-22
Dose 3 — Moderna
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Fatigue, Influenza, Malaise, Oropharyngeal pain, Pain, Productive cough, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: A flu that made me sicker than i have been in years. Started with runny nose, sneezing, scratchy/sore throat, fever. Then body aches, exhaustion, and heavy congestion. Ended with deep productive cough.MedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Dose 4 — Pfizer-BioNTech
- 2022-05-26
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2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-25
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2022-11-11
Dose 5 — Pfizer-BioNTech
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2022-11-11
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-11-12
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Muscle or body achesAdult check-in
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2022-11-13
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-11-14
- 2022-11-15
- 2022-11-16
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2022-11-17
Survey response — days 1–6 daily, dose 5MedDRA: Hyperacusis, Nasal congestion, Photophobia, Throat irritation, Unevaluable event — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Stuffy nose, scratchy throat, sensitivity to light and sound. · Healthcare visit (other): I called 3 hours ago at 11:00 amd and left a voice mail with my doctor, called just now and they told me they don't check voice mail until 3:30 and told me to wait until then for a call back. It's currently 2:20.MedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Report sent to call center — days 1–6 daily, dose 5Be unable to work or attend school · Get care from a doctor or other healthcare professional1 call case(s)
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2022-11-18
Survey response — day 7, dose 5MedDRA: Cough, Nasal congestion, Rhinorrhoea, Throat irritation — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Scratchy throat, stuffy/runny nose, small cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
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2022-11-18
Call successfulCompleted over the phone
- 2022-11-25
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2022-12-04
Survey response — day 21, dose 5MedDRA: Cluster headache, Condition aggravated, Pre-existing disease — Feeling: GoodFree text: I have been experiencing cluster headaches near my right temple. I had these from my teenage years until my mid-thirties, and finally was free of them after several years of seizure medication. I have not had them for the past 20 years.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
- 2022-12-16
- 2022-12-23
- 2023-02-10
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2023-05-12
Survey response — 6 months, dose 5MedDRA: Sensation of foreign body — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
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2023-05-12
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-15
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2023-05-16
Callback requested for12:00PM ET
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2023-05-16
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-05-26 | Pfizer-BioNTech | No |
| 5 | 2022-11-11 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): The injection site is more bruised than red. The second day after the shot I also experienced dizziness and thought I was going to pass out, but didn't. Drinking water helped.
Systemic reaction (other): the injection site is not really red. it started as a black/blue bruise with a lump. now it is more green/yellow. I suppose the bruising is slowly dissipating. the lump/swelling is also reduced.
Release 5 — day 7, dose 1
Systemic reaction (other): bruise around injection is mostly been with a side yellow circle around it, so definitely dissipating. it was itchy a few times today, but not bad.
Release 6 — day 14, dose 1
Symptoms: On day 7 the injection site started itching. On day 10 I had a huge red rash around the injection site covering most of my upper arm.it went away in 48 hours. Now my arm is fine and even the initial bruising is gone.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): slept 16 of the past 20 hours
Systemic reaction (other): slept 25 of 35 hours
Systemic reaction (other): my hands have been unusually cold for the past few weeks.
Release 11 — 12 months, dose 2
Symptoms: A flu that made me sicker than i have been in years. Started with runny nose, sneezing, scratchy/sore throat, fever. Then body aches, exhaustion, and heavy congestion. Ended with deep productive cough.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Stuffy nose, scratchy throat, sensitivity to light and sound.
Healthcare visit (other): I called 3 hours ago at 11:00 amd and left a voice mail with my doctor, called just now and they told me they don't check voice mail until 3:30 and told me to wait until then for a call back. It's currently 2:20.
Release 12 — day 7, dose 5
Systemic reaction (other): Scratchy throat, stuffy/runny nose, small cough.
Release 12 — day 21, dose 5
Symptoms: I have been experiencing cluster headaches near my right temple. I had these from my teenage years until my mid-thirties, and finally was free of them after several years of seizure medication. I have not had them for the past 20 years.
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 |
|---|---|---|---|---|
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Cluster headache | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sensation of foreign body | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperacusis | · | · | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Photophobia | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release