Z6H-24695-77011
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 316 / GA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
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2021-04-23
Dose 1 — Moderna
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2021-04-23
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Rapid heart beatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Lightheaded and dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Heart rate increased — Feeling: Fair · Fatigue or tirednessFree text: Rapid heartbeat and lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
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2021-04-30
Survey response — day 7, dose 1MedDRA: Hypertension — Feeling: Fair · Fatigue or tirednessFree text: Blood pressure highMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
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2021-05-14
Survey response — day 21, dose 1MedDRA: Blood pressure increased — Feeling: FairFree text: My blood pressure has been elevated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Dose 2 — Moderna
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2021-05-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
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2021-05-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-05-26
- 2021-06-04
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2021-06-11
Survey response — day 21, dose 2MedDRA: Skin odour abnormal — Feeling: FairFree text: Foul body odor that smells like a chemical.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-18
- 2021-06-27
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2021-07-02
Survey response — day 42, dose 2MedDRA: Pregnancy — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Pregnant.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-08-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-02 | Successful 2021-07-07 |
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): Rapid heart beat
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded and dizziness
Systemic reaction (other): Rapid heartbeat and lightheaded
Release 8 — day 7, dose 1
Systemic reaction (other): Blood pressure high
Release 8 — day 21, dose 1
Symptoms: My blood pressure has been elevated.
Release 9 — day 21, dose 2
Symptoms: Foul body odor that smells like a chemical.
Release 9 — day 42, dose 2
Symptoms: Pregnant.
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SD | Skin odour abnormal | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypertension | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release