Y25-10345-89985
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 301 / GA
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-02
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: a mild runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Survey response — day 7, dose 2MedDRA: Rhinorrhoea — Feeling: GoodFree text: mild runny nose day 2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Haematoma — Feeling: GoodFree text: today seem to have a subconjunctival hematoma. could be from anything. no htn. maybe from my ginkgoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
-
2021-07-31
Survey response — 6 months, dose 2MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: probably not related- frequent heart palpitations for about 8-10 weeks - have now gone away · Healthcare visit (other): cardiologyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-12
- 2021-08-17
- 2021-08-20
-
2021-10-25
Dose 3 — Pfizer-BioNTech
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Feeling of body temperature change, Malaise — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, DiarrheaFree text: pretty sick last night- felt very cold then later very hotMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-10
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-26
-
2022-10-25
Survey response — 12 months, dose 3MedDRA: Delirium, Disorientation, Mobility decreased — Feeling: Good · Be unable to work or attend schoolFree text: Delerium the day after I got my 4th vaccination. Self limiting- only 1 day. I went to work in my clinic and got very disorientedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-25 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-31 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): a mild runny nose
Release 3 — day 7, dose 2
Systemic reaction (other): mild runny nose day 2
Release 4 — day 14, dose 2
Symptoms: today seem to have a subconjunctival hematoma. could be from anything. no htn. maybe from my ginkgo
Release 9 — 6 months, dose 2
Symptoms: probably not related- frequent heart palpitations for about 8-10 weeks - have now gone away
Healthcare visit (other): cardiology
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): pretty sick last night- felt very cold then later very hot
Release 12 — 12 months, dose 3
Symptoms: Delerium the day after I got my 4th vaccination. Self limiting- only 1 day. I went to work in my clinic and got very disoriented
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 | Office visit | ✓ | · | ✓ |
| SD | Delirium | · | · | ✓ |
| SD | Disorientation | · | · | ✓ |
| SD | Haematoma | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SRO | Feeling of body temperature change | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release