Y9C-12436-27833
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 020 / MA
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-09
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
-
2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal painFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-15
- 2021-04-18
- 2021-04-30
-
2021-05-08
Dose 2 — Moderna
-
2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Burning sensation, Fatigue, Feeling cold, Migraine, Nausea, Pain — Feeling: Fair · FeverFree text: Terrible symptoms in first 24 hours freezing, burning, pain in all areas moving throughout my body, then horrible migraines, nausea, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-29
Survey response — day 21, dose 2MedDRA: Fatigue, Palpitations — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a couple days of heart palpitations and extreme fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Survey response — day 28, dose 2MedDRA: Colitis, Pain, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have had a fever and body aches which turned to colitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-05
Report sent to call center — day 28, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-13
-
2021-08-09
Survey response — 3 months, dose 2MedDRA: Menopause, Menstruation irregular, Therapeutic response unexpected — Feeling: GoodFree text: I was in menopause and got my period. Also of note, since my second shot Ive never had a hot flash again (and I was definitely getting them multiple times an hour/intensely) prior to the second shot.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-05 | Successful 2021-11-26 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Terrible symptoms in first 24 hours freezing, burning, pain in all areas moving throughout my body, then horrible migraines, nausea, fatigue
Release 8 — day 21, dose 2
Symptoms: Had a couple days of heart palpitations and extreme fatigue.
Release 8 — day 28, dose 2
Symptoms: I have had a fever and body aches which turned to colitis.
Release 9 — 3 months, dose 2
Symptoms: I was in menopause and got my period. Also of note, since my second shot Ive never had a hot flash again (and I was definitely getting them multiple times an hour/intensely) prior to the second shot.
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 |
|---|---|---|---|---|
| SD | Colitis | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Menopause | ✓ | · | ✓ |
| SD | Menstruation irregular | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Therapeutic response unexpected | ✓ | · | ✓ |
| SRO | Burning sensation | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release