Z2N-40642-40048
4 vaccinations
11 coded responses
40 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 220 / VA
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I had sniffles pretty bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I seem to tired all the time since my 2nd shot. Finally paid attention.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
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2021-03-02
Survey response — day 21, dose 2MedDRA: Asthenia — Feeling: Good · Be unable to do your normal daily activitiesFree text: I still find myself without energy to do normal chores regularly.Other than I feel fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
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2021-03-23
Survey response — day 42, dose 2MedDRA: Fatigue, Feeling abnormal, Hypersomnia, Memory impairment — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Brain fog, forgetfulness, tired and sleeping 9+ hours. I thought it was my thyroid or lupus but bloodwork says boths are at normal levels with no outbreaks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
- 2021-08-10
-
2021-11-10
Dose 3 — Moderna
- 2022-02-09
-
2022-05-13
Survey response — 6 months, dose 3MedDRA: Malaise, Office visit, Pre-existing disease — 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 consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Doc said asthma. I was sick over 5 weeks. Couldn't see doctor until Iwas better. Not like asthma. · Healthcare visit (other): Had to wait 7 days before I cou kn d see doctor. Have not had any ASTHMA since 2015.MedDRA releases: 2024-11 · check-in free text available
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2022-05-13
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-16
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2022-06-01
Dose 4 — Moderna
- 2022-06-04
- 2022-06-05
- 2022-06-06
- 2022-06-07
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2022-06-08
Survey response — day 7, dose 4MedDRA: Headache — Feeling: Good · HeadacheFree text: I have headaches at night.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-16
- 2022-06-22
-
2022-06-29
Survey response — day 28, dose 4MedDRA: Arthralgia, Joint swelling, Pain in extremity, Peripheral swelling — Feeling: FairFree text: My feet and ankles are very swollen and they never go done. They are painful too.MedDRA releases: 2024-11 · check-in free text available
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2022-07-06
Survey response — day 35, dose 4MedDRA: Peripheral swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: Lower legs and feet are swollen. Will call doc tomorrow.MedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Survey response — day 42, dose 4MedDRA: Atrial fibrillation — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have been diagnosed with A FibMedDRA releases: 2024-11 · check-in free text available
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2022-08-31
Survey response — 3 months, dose 4MedDRA: Atrial fibrillation, Dyspnoea, Office visit — Feeling: Poor · 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: Symptoms: AFib. Can't breathe well · Healthcare visit (other): Urgent care 2 times.MedDRA releases: 2024-11 · check-in free text available
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2022-08-31
Report sent to call center — 3 months, dose 4Be 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)
- 2022-09-01
-
2022-09-01
Callback requested for02:30PM ET
-
2022-09-01
Call successfulCompleted over the phone
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2022-09-01
Call successfulCompleted over the phone
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2022-12-01
Survey response — 6 months, dose 4MedDRA: Atrial fibrillation, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: I developed A Fib. I had ti go to urgent care several times in a few weeks.MedDRA releases: 2024-11 · check-in free text available
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2022-12-01
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-02
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-06-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-13 | Successful 2022-09-01 |
Completed over the phone |
| 2022-08-31 | Successful 2022-09-01 |
Completed over the phone |
| 2022-12-01 | Unsuccessful | Reported to VAERS during previous contact from GDIT |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had sniffles pretty bad.
Release 4 — day 7, dose 2
Systemic reaction (other): I seem to tired all the time since my 2nd shot. Finally paid attention.
Release 4 — day 21, dose 2
Symptoms: I still find myself without energy to do normal chores regularly.Other than I feel fine.
Release 6 — day 42, dose 2
Symptoms: Brain fog, forgetfulness, tired and sleeping 9+ hours. I thought it was my thyroid or lupus but bloodwork says boths are at normal levels with no outbreaks.
Release 11 — 6 months, dose 3
Symptoms: Doc said asthma. I was sick over 5 weeks. Couldn't see doctor until Iwas better. Not like asthma.
Healthcare visit (other): Had to wait 7 days before I cou kn d see doctor. Have not had any ASTHMA since 2015.
Release 11 — day 7, dose 4
Systemic reaction (other): I have headaches at night.
Release 12 — day 28, dose 4
Symptoms: My feet and ankles are very swollen and they never go done. They are painful too.
Release 12 — day 35, dose 4
Symptoms: Lower legs and feet are swollen. Will call doc tomorrow.
Release 12 — day 42, dose 4
Symptoms: I have been diagnosed with A Fib
Release 12 — 3 months, dose 4
Release 12 — 6 months, dose 4
Symptoms: I developed A Fib. I had ti go to urgent care several times in a few weeks.
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 | Office visit | · | · | ✓ |
| HCVO | Pre-existing disease | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release