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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

  1. 2020-12-21
    Dose 1 — Moderna
  2. 2021-01-21
    Dose 2 — Moderna
  3. 2021-01-27
    Registered in v-safe
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work
    Adult check-in
  5. 2021-01-28
    Survey response — day 7, dose 2
    MedDRA: 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 activities
    Free text: Dizzy and feel easily confused
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-02-11
    Survey response — day 21, dose 2
    MedDRA: Nasal congestion, Nausea, Oropharyngeal pain, Pain, Pyrexia, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Sore throat, achy body, low grade fever, nausea and vomiting, nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-02-25
    Survey response — day 35, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-05
    Survey response — day 42, dose 2
    MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat and nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-07-22
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Nausea, Photosensitivity reaction, Rash, Urticaria — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free 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 this
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-07-22
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-07-28
  15. 2022-01-26
    Survey response — 12 months, dose 2
    MedDRA: 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 professional
    Free 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 PCP
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-26
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-01-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12020-12-21Moderna
22021-01-21Moderna

Call center

ReportedOutcomeVAERS-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

2021-01-28

Systemic reaction (other): Dizzy and feel easily confused

Release 4 — day 21, dose 2

2021-02-11

Symptoms: Sore throat, achy body, low grade fever, nausea and vomiting, nasal congestion

Release 4 — day 35, dose 2

2021-02-25

Symptoms: Diarrhea

Release 5 — day 42, dose 2

2021-03-05

Symptoms: Sore throat and nasal congestion

Release 9 — 6 months, dose 2

2021-07-22

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

2022-01-26

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDArrhythmia · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDErythema · · ✓
SDNasal congestion ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPhotosensitivity reaction · · ✓
SDPyrexia ✓ ✓ ✓
SDRash · · ✓
SDUrticaria · · ✓
SDVomiting ✓ ✓ ✓
SROConfusional state ✓ ✓ ✓
SRODizziness ✓ ✓ ✓

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