ZJ7-82625-01178
1 vaccination
5 coded responses
15 check-ins
5 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 913 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
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2021-02-15
Survey response — day 14, dose 1MedDRA: Headache, 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: Headache. Sinus infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-22
Survey response — day 21, dose 1MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Migraine really bad. Not a sinus infection as reported last week. Had migraine for 2 weeks. Does it have anything to do with COVID vaccine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — day 28, dose 1MedDRA: Cerebrovascular accident, Dizziness, Hospitalisation — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Had minor stroke Feb. 27th. Discharged yesterday. Have some dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Report sent to call center — day 28, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-08
Survey response — day 35, dose 1MedDRA: Blood test, Eye disorder, Flushing, 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: Continuing dull headaches and eye sight problems, also flushing of the face. · Healthcare visit (other): Blood workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — day 35, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — 3 months, dose 1MedDRA: Cerebrovascular accident, Emergency care, Headache, Migraine — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Headaches. Slight stroke. Went to ER end of Feb. Second vaccine Apr. 1st. Headaches (migraine) started up again. Still have them. · Healthcare visit (other): slight stroke.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-02
- 2021-08-04
- 2022-02-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Unsuccessful | |
| 2021-03-01 | Unsuccessful | |
| 2021-03-08 | Unsuccessful | |
| 2021-05-05 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Headache. Sinus infection
Release 4 — day 21, dose 1
Symptoms: Migraine really bad. Not a sinus infection as reported last week. Had migraine for 2 weeks. Does it have anything to do with COVID vaccine?
Release 4 — day 28, dose 1
Symptoms: Had minor stroke Feb. 27th. Discharged yesterday. Have some dizziness.
Release 5 — day 35, dose 1
Symptoms: Continuing dull headaches and eye sight problems, also flushing of the face.
Healthcare visit (other): Blood work
Release 8 — 3 months, dose 1
Symptoms: Headaches. Slight stroke. Went to ER end of Feb. Second vaccine Apr. 1st. Headaches (migraine) started up again. Still have them.
Healthcare visit (other): slight stroke.
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 | Blood test | ✓ | ✓ | ✓ |
| HCVO | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Cerebrovascular accident | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Eye disorder | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release