YK6-16068-92606
4 vaccinations
6 coded responses
31 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 151 / PA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-23
Dose 1 — Moderna
-
2021-02-24
Registered in v-safe
-
2021-02-24
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
-
2021-03-23
Dose 2 — Moderna
- 2021-03-23
-
2021-03-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-05-04
-
2021-06-22
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Nasal congestion, Nasal pruritus, Rhinorrhoea, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Nasal discharge and congestion, scratchy/itchy throat and nose, fatigue, cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-21
-
2021-11-23
Dose 3 — Moderna
- 2022-03-25
-
2022-04-09
Dose 4 — Moderna
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2022-04-30
Survey response — day 21, dose 4MedDRA: Cough, Fatigue, Nasal congestion, Oropharyngeal pain, Respiratory disorder, Sinus headache, Throat irritation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Upper respiratory issues with nasal congestion, sinus headache for multiple days, sore throat, tickle, and unproductive cough, and tiredness.MedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Survey response — day 28, dose 4MedDRA: Ear congestion, Ear pain, Paranasal sinus discomfort, Sinus pain, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sinus pressure/pain and infection. Plugged ears and pain.MedDRA releases: 2024-11 · check-in free text available
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2022-05-07
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-05-10
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-14
Survey response — day 35, dose 4MedDRA: Deafness, Ear discomfort, Medical counselling, Paranasal sinus discomfort — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Both ears are completely plugged up and I can't hear. Also sinus pressure. · Healthcare visit (other): Update and check in via phone call to nurse.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-17
- 2022-05-17
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2022-05-21
Survey response — day 42, dose 4MedDRA: Ear discomfort, Ear pain, Laryngitis, Nasal congestion, Office visit, Oropharyngeal pain, Sinus headache — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: After experiencing sore throat, nasal congestion, sinus headaches, laryngitis, and then ear pressure, pain in ears, currently ears are plugged and went to ENT after 10 days of amoxicillin did nothing. · Healthcare visit (other): Consult with ENT.MedDRA releases: 2024-11 · check-in free text available
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2022-05-21
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-23
- 2022-05-23
- 2022-05-23
- 2022-07-09
- 2022-10-11
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-23 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-07 | Successful 2022-05-10 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-14 | Unsuccessful | |
| 2022-05-21 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Brain fog
Release 9 — 3 months, dose 2
Symptoms: Nasal discharge and congestion, scratchy/itchy throat and nose, fatigue, cough.
Release 11 — day 21, dose 4
Symptoms: Upper respiratory issues with nasal congestion, sinus headache for multiple days, sore throat, tickle, and unproductive cough, and tiredness.
Release 11 — day 28, dose 4
Symptoms: Sinus pressure/pain and infection. Plugged ears and pain.
Release 11 — day 35, dose 4
Symptoms: Both ears are completely plugged up and I can't hear. Also sinus pressure.
Healthcare visit (other): Update and check in via phone call to nurse.
Release 11 — day 42, dose 4
Symptoms: After experiencing sore throat, nasal congestion, sinus headaches, laryngitis, and then ear pressure, pain in ears, currently ears are plugged and went to ENT after 10 days of amoxicillin did nothing.
Healthcare visit (other): Consult with ENT.
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Deafness | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasal pruritus | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release