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Y5M-17180-95619

2 vaccinations 9 coded responses 15 check-ins 9 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
674 / KS
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Dose 1 — Moderna
  2. 2021-01-07
    Registered in v-safe
  3. 2021-01-07
    Survey response — day 7, dose 1
    MedDRA: Neuralgia, Pain in extremity — Feeling: Good · Chills, Joint pains
    Free text: sharp pain my toes at night like nerve pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-20
    Survey response — day 21, dose 1
    MedDRA: Mood swings, Pain in extremity — Feeling: Fair
    Free text: I still have a stabbing pain in my right foot at night. Okay during the day tho. A little moody at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-26
    Survey response — day 28, dose 1
    MedDRA: Chills, Muscle spasms — Feeling: Good
    Free text: Getting chills at night even when the house is comfortable
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-28
    Dose 2 — Moderna
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  9. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ophthalmic migraine — Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Free text: Experienced an ocular migraine today. The first i have experienced. Symptoms lasted 10 minutes or so during my lunch break.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Dizziness — Feeling: Fair
    Free text: Extreme dizzy almost blacked out lasted abt. 5 mins on the 9th feb. Still have symptoms but not as severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-18
    Survey response — day 21, dose 2
    MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Severe vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-18
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-02-25
    Survey response — day 28, dose 2
    MedDRA: Vertigo — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-25
    Report sent to call center — day 28, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-03-04
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Vertigo — Feeling: Fair
    Free text: Continued lack of energy and vertigo
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-08-11
  21. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Anxiety, Cardiac flutter, Dyspnoea — Feeling: Fair
    Free text: Breathless at times. Heart has some fluttering. Occasional anxiety.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-18 Unsuccessful
2021-02-25 Unsuccessful

Free text

Release 1 — day 7, dose 1

2021-01-07

Systemic reaction (other): sharp pain my toes at night like nerve pain

Release 2 — day 21, dose 1

2021-01-20

Symptoms: I still have a stabbing pain in my right foot at night. Okay during the day tho. A little moody at times

Release 2 — day 28, dose 1

2021-01-26

Symptoms: Getting chills at night even when the house is comfortable

Release 3 — days 1–6 daily, dose 2

2021-02-03

Systemic reaction (other): Experienced an ocular migraine today. The first i have experienced. Symptoms lasted 10 minutes or so during my lunch break.

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Extreme dizzy almost blacked out lasted abt. 5 mins on the 9th feb. Still have symptoms but not as severe.

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Severe vertigo

Release 4 — day 28, dose 2

2021-02-25

Symptoms: Vertigo

Release 5 — day 35, dose 2

2021-03-04

Symptoms: Continued lack of energy and vertigo

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Breathless at times. Heart has some fluttering. Occasional anxiety.

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

FieldPreferred term2021-092023-042024-11
SDAnxiety · · ✓
SDAsthenia ✓ ✓ ✓
SDCardiac flutter · · ✓
SDChills ✓ · ✓
SDDizziness ✓ ✓ ✓
SDDyspnoea · · ✓
SDMood swings ✓ ✓ ✓
SDMuscle spasms ○ ✓ ○
SDPain in extremity ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SRONeuralgia ✓ ✓ ✓
SROOphthalmic migraine ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release