Z3X-22075-41306
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 453 / OH
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Dose 2 — Moderna
-
2021-02-04
Survey response — day 0, dose 2MedDRA: Injection site rash, Lymph node pain, Lymphadenopathy, Oropharyngeal pain, Rash — Feeling: Good · Site: Pain · 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: I didnt report after my first vaccine, so after my first I developed rash at the site in ring like pattern and rash on my abdomen days 3-9. Day 13 I developed sore throat only on the side of my injection and that worsened over 4 days, I developed moderately enlarged throat and neck lymph nodes with severe pain. Worst was 4 days after throat pain started, was 90% better on day 5 of these symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Report sent to call center — day 0, 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)
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness, NauseaFree text: IndegestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fatigue or tiredness, Diarrhea, Abdominal painFree text: Started my menstrual cycle todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-08
- 2021-06-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-04 | Unsuccessful |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): I didnt report after my first vaccine, so after my first I developed rash at the site in ring like pattern and rash on my abdomen days 3-9. Day 13 I developed sore throat only on the side of my injection and that worsened over 4 days, I developed moderately enlarged throat and neck lymph nodes with severe pain. Worst was 4 days after throat pain started, was 90% better on day 5 of these symptoms
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Indegestion
Systemic reaction (other): Started my menstrual cycle today
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 |
|---|---|---|---|---|
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release