UZL-20120-86968
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 284 / NC
- Registered
- 2021-08-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-19
Dose 1 — Moderna
-
2021-08-20
Registered in v-safe
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2021-08-20
Survey response — days 1–6 daily, dose 1MedDRA: Muscle twitching — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Muscle twitchesMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-21
-
2021-08-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-08-23
- 2021-08-24
- 2021-08-25
- 2021-08-26
- 2021-09-02
- 2021-09-09
-
2021-09-16
Dose 2 — Moderna
-
2021-09-16
Survey response — day 0, dose 2MedDRA: Pregnancy — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Im 35 weeks pregnant. I just had the flue shot 3 days ago.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-09-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint painsAdult check-in
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2021-09-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Fatigue or tirednessAdult check-in
- 2021-09-20
-
2021-09-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-09-22
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2021-09-23
Health check-in — day 7, dose 2Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-09-30
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Nausea, Paranasal sinus discomfort — Feeling: FairFree text: Sinus pressure, headache, fatigue, nauseaMedDRA releases: 2024-11 · check-in free text available
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2021-10-07
Survey response — day 21, dose 2MedDRA: Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: Congestion, sore throat, headache, feverishMedDRA releases: 2024-11 · check-in free text available
- 2021-10-14
- 2021-10-21
- 2021-10-28
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2021-12-16
Survey response — 3 months, dose 2MedDRA: Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: GoodFree text: Sore throat, congestion, low grade feverMedDRA releases: 2024-11 · check-in free text available
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2022-03-17
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue — Feeling: Fair · 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: Fatigue, joint painMedDRA releases: 2024-11 · check-in free text available
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2022-03-17
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)
- 2022-03-21
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2022-09-18
Survey response — 12 months, dose 2MedDRA: Osteopenia — Feeling: GoodFree text: OsteopeniaMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-19 | Moderna | No |
| 2 | 2021-09-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-17 | Unsuccessful |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Muscle twitches
Release 9 — day 0, dose 2
Systemic reaction (other): Im 35 weeks pregnant. I just had the flue shot 3 days ago.
Release 9 — day 14, dose 2
Symptoms: Sinus pressure, headache, fatigue, nausea
Release 10 — day 21, dose 2
Symptoms: Congestion, sore throat, headache, feverish
Release 10 — 3 months, dose 2
Symptoms: Sore throat, congestion, low grade fever
Release 11 — 6 months, dose 2
Symptoms: Fatigue, joint pain
Release 12 — 12 months, dose 2
Symptoms: Osteopenia
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 | Arthralgia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Osteopenia | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Muscle twitching | ✓ | · | ✓ |
| SRO | Pregnancy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release