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Z7E-26589-80740

2 vaccinations 2 coded responses 2 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
922 / CA
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-03-10
    Registered in v-safe
  3. 2021-03-10
    Dose 2 — Moderna
  4. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Atrial fibrillation, Chills, Headache, Nausea, Pain — Feeling: Good
    Free text: For 30 hours after my vaccine, I had a 100° fever, chills, headache, nausea, and body aches. I went in and out of a fib, the longest event lasting seven hours. On day three, I had no symptoms and was able to resume my normal activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Exposure to SARS-CoV-2, Pyrexia, Quarantine, SARS-CoV-2 test negative — Feeling: Good · 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: My husband positive for Covid on Sunday. I tested negative. I had a low-grade fever for four days. Because of my husbands diagnosis, we are quarantining for 10 days.
    MedDRA releases: 2024-11 · check-in free text available
  6. 2021-09-08
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  7. 2021-09-14
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-10Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-09-08 Successful
2021-09-14
Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): For 30 hours after my vaccine, I had a 100° fever, chills, headache, nausea, and body aches. I went in and out of a fib, the longest event lasting seven hours. On day three, I had no symptoms and was able to resume my normal activities

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: My husband positive for Covid on Sunday. I tested negative. I had a low-grade fever for four days. Because of my husbands diagnosis, we are quarantining for 10 days.

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
SDExposure to SARS-CoV-2 · · ✓
SDPyrexia · · ✓
SDQuarantine · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAtrial fibrillation ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓

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