Z2N-16796-23417
5 vaccinations
6 coded responses
45 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 082 / NJ
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
- 2021-04-22
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Chills, Headache, NauseaFree text: These symptoms occured last night after I had already done my vsafe check in. I feel good today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling cold, Feeling hot, Hyperhidrosis — Feeling: Fair · Fever · Chills, Fatigue or tiredness, NauseaFree text: Felt feverish with no fever. Cold one minute sweating the nextMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Acute kidney injury, Body temperature decreased, Emergency care, Hypothermia, Kidney infection, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Systemic reaction (other): Please note during this time I developed a kidney infection and went to the ER today. I thought it was the vaccine but I'm leaning more towards these symptoms being due to the kidney infection. Temperature went down to 94.,6 but would only let me put in 95 · Healthcare visit (other): As indicated before I am being truthful about my symptoms but I believe they were related to an acute kidney infection that had nothing to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Kidney infection, Nausea — Feeling: Good · NauseaFree text: Currently being treated for a kidney infection. Medication could be causing nausea not the vaccine. Answering honestly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — day 7, dose 2MedDRA: Kidney infection — Feeling: Good · Nausea, DiarrheaFree text: Being treated for a kidney infection. May not be related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
-
2021-05-26
Survey response — day 35, dose 2MedDRA: Autoimmune disorder, Unevaluable event — Feeling: GoodFree text: It is very sad that people like myself who are immunosuppressed with medication due to an autoimmune disease may have zero protection from the vaccines. Please research this as our population will spread the disease!!!! This is unacceptable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-07-21
-
2021-08-16
Dose 3 — Moderna
- 2021-10-20
- 2021-11-15
- 2022-01-04
-
2022-02-09
Dose 4 — Moderna
- 2022-02-14
- 2022-02-14
- 2022-02-15
- 2022-02-16
- 2022-02-23
- 2022-03-02
- 2022-03-09
- 2022-03-16
- 2022-03-23
- 2022-05-11
- 2022-08-10
-
2022-09-10
Dose 5 — Pfizer-BioNTech
- 2022-09-25
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-12-11
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-02-09 | Moderna | No |
| 5 | 2022-09-10 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): These symptoms occured last night after I had already done my vsafe check in. I feel good today.
Systemic reaction (other): Felt feverish with no fever. Cold one minute sweating the next
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Please note during this time I developed a kidney infection and went to the ER today. I thought it was the vaccine but I'm leaning more towards these symptoms being due to the kidney infection. Temperature went down to 94.,6 but would only let me put in 95
Healthcare visit (other): As indicated before I am being truthful about my symptoms but I believe they were related to an acute kidney infection that had nothing to do with the vaccine
Systemic reaction (other): Currently being treated for a kidney infection. Medication could be causing nausea not the vaccine. Answering honestly.
Release 8 — day 7, dose 2
Systemic reaction (other): Being treated for a kidney infection. May not be related to vaccine.
Release 8 — day 35, dose 2
Symptoms: It is very sad that people like myself who are immunosuppressed with medication due to an autoimmune disease may have zero protection from the vaccines. Please research this as our population will spread the disease!!!! This is unacceptable.
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 | Acute kidney injury | ○ | ✓ | ○ |
| HCVO | Kidney infection | ✓ | · | ✓ |
| HCVO | Pre-existing disease | ○ | ✓ | ○ |
| SD | Autoimmune disorder | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | ○ | ✓ | ○ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hypothermia | ✓ | · | ✓ |
| SRO | Kidney infection | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release