Z6Y-13844-52129
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 975 / OR
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: I had a migraine today, not a headache. I get migraines all the time, so it may not be related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Migraine — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Another migraine. Not sure if it's related to the vaccine or one of my regular ones.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-24
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence, Gastrointestinal pain — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, Nausea, Abdominal painFree text: I was super gassy along with my gut hurting, but it's gone this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Migraine — Feeling: Poor · Site: Pain, Swelling · Headache · Be unable to do your normal daily activitiesFree text: Migraine, not headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-20
-
2021-04-27
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Had a bought of diarrhea. My husband who also got the same shot as I did on the same day also had diarrhea, but his was for a couple of days. We eat the same food but our diarrhea was not on the same days as each other. Maybe vaccine related?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
-
2021-10-12
Survey response — 6 months, dose 2MedDRA: Dizziness, Neck pain, Vertigo — Feeling: Poor · 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: Neck pain, vertigo, dizziness. Have had the neck pain for a while. A pillow a week ago made the pain, vertigo, dizziness much worse. I don't know if this has anything to do with the shot or Covid-19. I put no on the answer below, but I'm unsure.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-12
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-10-15
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-12 | Successful 2021-10-15 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I had a migraine today, not a headache. I get migraines all the time, so it may not be related.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Another migraine. Not sure if it's related to the vaccine or one of my regular ones.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I was super gassy along with my gut hurting, but it's gone this morning.
Systemic reaction (other): Migraine, not headache
Release 8 — day 14, dose 2
Symptoms: Had a bought of diarrhea. My husband who also got the same shot as I did on the same day also had diarrhea, but his was for a couple of days. We eat the same food but our diarrhea was not on the same days as each other. Maybe vaccine related?
Release 10 — 6 months, dose 2
Symptoms: Neck pain, vertigo, dizziness. Have had the neck pain for a while. A pillow a week ago made the pain, vertigo, dizziness much worse. I don't know if this has anything to do with the shot or Covid-19. I put no on the answer below, but I'm unsure.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal pain | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release