Y76-25832-83853
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 934 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-21
Dose 1 — Moderna
-
2021-01-21
Dose 2 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to workAdult check-in
-
2021-01-28
Survey response — day 7, dose 2MedDRA: Confusional state, Dizziness — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizzy and feel easily confusedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Survey response — day 21, dose 2MedDRA: Nasal congestion, Nausea, Oropharyngeal pain, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Sore throat, achy body, low grade fever, nausea and vomiting, nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DiarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 42, dose 2MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat and nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-07-22
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Nausea, Photosensitivity reaction, Rash, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I am now allergic to sunlight. I have to wear at least 70 spf sunblock and be completely covered. If not I get hives, rash shortness of breath and nausea. I have never experienced thisMedDRA releases: 2024-11 · check-in free text available
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2021-07-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
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2022-01-26
Survey response — 12 months, dose 2MedDRA: Arrhythmia, Erythema, Office visit, Photosensitivity reaction, Urticaria — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Since my 2nd covid vaccination I am allergic to the sun and turn bright red with hives. I also have developed an irregular heart rhythm which the doctors believe is vaccine related · Healthcare visit (other): Saw PCPMedDRA releases: 2024-11 · check-in free text available
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2022-01-26
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-01-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-21 | Moderna | |
| 2 | 2021-01-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-22 | Successful | Participant prefers to complete VAERS report online |
| 2022-01-26 | Successful 2022-01-28 |
Participant prefers to complete VAERS report online |
Free text
Release 3 — day 7, dose 2
Systemic reaction (other): Dizzy and feel easily confused
Release 4 — day 21, dose 2
Symptoms: Sore throat, achy body, low grade fever, nausea and vomiting, nasal congestion
Release 4 — day 35, dose 2
Symptoms: Diarrhea
Release 5 — day 42, dose 2
Symptoms: Sore throat and nasal congestion
Release 9 — 6 months, dose 2
Symptoms: I am now allergic to sunlight. I have to wear at least 70 spf sunblock and be completely covered. If not I get hives, rash shortness of breath and nausea. I have never experienced this
Release 11 — 12 months, dose 2
Symptoms: Since my 2nd covid vaccination I am allergic to the sun and turn bright red with hives. I also have developed an irregular heart rhythm which the doctors believe is vaccine related
Healthcare visit (other): Saw PCP
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 | Arrhythmia | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Photosensitivity reaction | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release