ZLA-79471-81640
2 vaccinations
6 coded responses
7 check-ins
6 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 890 / NV
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-03-19
Registered in v-safe
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2021-03-19
Survey response — day 21, dose 2MedDRA: Diarrhoea, Dizziness, Dyspepsia, Fatigue, Headache, Hypoaesthesia, Muscle spasms, Pain, Tinnitus, Visual impairment — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: After 2nd vaccine I felt like I did when I had Covid...Dizzy. Aches. Headaches. Diarrhea. Cramps. Indigestion. Tinnitus. Facial numbness. Fatigue. I had facial numbness after my 1st vaccine that affected my vision. Still have ongoing fatigue daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Survey response — day 28, dose 2MedDRA: Bladder disorder, Fatigue — Feeling: GoodFree text: Fatigue.. Bladder issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — day 35, dose 2MedDRA: Concussion, Fall — Feeling: Poor · Be unable to work, 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: Fell.. I have a concussion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-09
Survey response — day 42, dose 2MedDRA: Confusional state, Tremor — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Increased tremors n confusion...but I am in stage of concussion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-31
- 2021-06-11
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Cholecystectomy — Feeling: Fair · Be unable to work or attend school, 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: Had to have my gallbladder removedMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-02
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2022-02-27
Survey response — 12 months, dose 2MedDRA: Dizziness, Ear infection, Tinnitus — Feeling: Fair · Be unable to work or attend school, 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: Ear infection lasting past 10 days of antibiotics...with tinnitus and dizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-02-27
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-02 | Unsuccessful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-04-09 | Unsuccessful | |
| 2021-08-27 | Unsuccessful | Reported to VAERS voluntarily prior to GDIT contact |
| 2022-02-27 | Unsuccessful |
Free text
Release 5 — day 21, dose 2
Symptoms: After 2nd vaccine I felt like I did when I had Covid...Dizzy. Aches. Headaches. Diarrhea. Cramps. Indigestion. Tinnitus. Facial numbness. Fatigue. I had facial numbness after my 1st vaccine that affected my vision. Still have ongoing fatigue daily. cut off by CDC
Release 6 — day 28, dose 2
Symptoms: Fatigue.. Bladder issues
Release 6 — day 35, dose 2
Symptoms: Fell.. I have a concussion.
Release 7 — day 42, dose 2
Symptoms: Increased tremors n confusion...but I am in stage of concussion.
Release 9 — 6 months, dose 2
Symptoms: Had to have my gallbladder removed
Release 11 — 12 months, dose 2
Symptoms: Ear infection lasting past 10 days of antibiotics...with tinnitus and dizziness
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 | Bladder disorder | ✓ | ✓ | ✓ |
| SD | Cholecystectomy | ✓ | · | ✓ |
| SD | Concussion | ✓ | ✓ | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dyspepsia | ✓ | ✓ | ✓ |
| SD | Ear infection | · | · | ✓ |
| SD | Fall | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release