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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

  1. 2021-04-09
    Dose 1 — Moderna
  2. 2021-04-10
    Registered in v-safe
  3. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-05-08
    Dose 2 — Moderna
  9. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Burning sensation, Fatigue, Feeling cold, Migraine, Nausea, Pain — Feeling: Fair · Fever
    Free text: Terrible symptoms in first 24 hours freezing, burning, pain in all areas moving throughout my body, then horrible migraines, nausea, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-29
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Palpitations — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had a couple days of heart palpitations and extreme fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-05
    Survey response — day 28, dose 2
    MedDRA: 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 visit
    Free 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
  12. 2021-06-05
    Report sent to call center — day 28, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-06-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-09
    Survey response — 3 months, dose 2
    MedDRA: Menopause, Menstruation irregular, Therapeutic response unexpected — Feeling: Good
    Free 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
  15. 2021-11-26
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-08Moderna

Call center

ReportedOutcomeVAERS-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

2021-04-11

Systemic reaction (other): Dizzy

Release 8 — days 1–6 daily, dose 2

2021-05-14

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

2021-05-29

Symptoms: Had a couple days of heart palpitations and extreme fatigue.

Release 8 — day 28, dose 2

2021-06-05

Symptoms: I have had a fever and body aches which turned to colitis.

Release 9 — 3 months, dose 2

2021-08-09

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

FieldPreferred term2021-092023-042024-11
SDColitis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMenopause ✓ · ✓
SDMenstruation irregular ✓ · ✓
SDPain ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDTherapeutic response unexpected ✓ · ✓
SROBurning sensation · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling cold · · ✓
SROMigraine ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain · · ✓

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