Z2Y-30739-67554
3 vaccinations
4 coded responses
39 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 363 / AL
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Sinus disorder — Feeling: Good · Site: Pain · Headache, Muscle or body aches, NauseaFree text: My sinuses were also really bothering me. All of these sum tend were last night and early this morning. They were much better this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Headache, Neck pain, Pain in extremity, Self-medication — Feeling: Poor · Site: Pain · Headache, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I got my second vaccine Wednesday and had bad headache and achy neck and shoulders and Friday night I suddenly got real bad headache and ached back of neck shoulders and both arms to my elbows. After a while took Tylenol and ibuprofen ands felt better. By morning aching and headaches were gone. gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
-
2021-03-31
Survey response — day 35, dose 2MedDRA: Rash, Vaccine positive rechallenge — Feeling: GoodFree text: Actually about 5 or so days after first vaccine I got several small red dots on chest nearest where I got shot. Then same after second shot but got about 20 in same location and since then I keep getting a cluster of 20 or so every so often.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Erythema, Office visit, Petechiae — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I keep getting small blood capillaries bursting on my chest. A few after 1stvaccine &about 30 after 2ndvaccine &they fade away but still keep getting more. Please speak to (b)(6) my Dermatologist in (b)(6) Al for more info as no room to write more · Healthcare visit (other): My doctor and Dermatologist Dr Pynes in Dothan so far 3 appointment since February 24th also 3 tubes of blood work all negative. There is no pain itching or swelling just red dots that fade away from busted I believe capillaries. Keep getting red bumps that turn purple and fade away and still happeningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-26
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-25
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-05-12
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-26 | Successful 2022-05-12 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My sinuses were also really bothering me. All of these sum tend were last night and early this morning. They were much better this morning.
Systemic reaction (other): I got my second vaccine Wednesday and had bad headache and achy neck and shoulders and Friday night I suddenly got real bad headache and ached back of neck shoulders and both arms to my elbows. After a while took Tylenol and ibuprofen ands felt better. By morning aching and headaches were gone. gone.
Release 6 — day 35, dose 2
Symptoms: Actually about 5 or so days after first vaccine I got several small red dots on chest nearest where I got shot. Then same after second shot but got about 20 in same location and since then I keep getting a cluster of 20 or so every so often.
Release 8 — 3 months, dose 2
Symptoms: I keep getting small blood capillaries bursting on my chest. A few after 1stvaccine &about 30 after 2ndvaccine &they fade away but still keep getting more. Please speak to (b)(6) my Dermatologist in (b)(6) Al for more info as no room to write more
Healthcare visit (other): My doctor and Dermatologist Dr Pynes in Dothan so far 3 appointment since February 24th also 3 tubes of blood work all negative. There is no pain itching or swelling just red dots that fade away from busted I believe capillaries. Keep getting red bumps that turn purple and fade away and still happening
redacted (b)(6)
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 | Erythema | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Petechiae | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release