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Z4N-16957-68088

2 vaccinations 8 coded responses 26 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
31-35
ZIP prefix
998 / AK
Registered
2021-02-25
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Health check-in — day 0, dose 1
    Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Immediate post-injection reaction — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Slight numbness at injected arm when first got. Gone today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  11. 2021-03-11
    Survey response — day 14, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activities
    Free text: A fever of 99 for two days on and off and one of 100.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Dose 2 — Moderna
  14. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Thirst — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Thirst
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Bitter taste
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat; cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Unevaluable event — Feeling: Fair
    Free text: Fever still between 98 and 99 on two different thermometers.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-15
    Survey response — day 21, dose 2
    MedDRA: Cough, Depressed mood, Nasopharyngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Husband and I caught a nasty cold and cough four days ago. Still feeling down. Not sure if its from the vaccine but reporting it nonetheless. Bedridden for 2 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-06-24
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Migraine, Tremor — 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 visit
    Free text: Migraines and shakiness in injection arm as well as joint pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-06-24
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  29. 2021-06-30
  30. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-03-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-06-24 Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-26

Systemic reaction (other): Slight numbness at injected arm when first got. Gone today.

Release 5 — day 14, dose 1

2021-03-11

Symptoms: A fever of 99 for two days on and off and one of 100.

Release 6 — days 1–6 daily, dose 2

2021-03-26

Systemic reaction (other): Thirst

2021-03-27

Systemic reaction (other): Bitter taste

2021-03-31

Systemic reaction (other): Sore throat; cough.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: Fever still between 98 and 99 on two different thermometers.

Release 7 — day 21, dose 2

2021-04-15

Symptoms: Husband and I caught a nasty cold and cough four days ago. Still feeling down. Not sure if its from the vaccine but reporting it nonetheless. Bedridden for 2 days

Release 9 — 3 months, dose 2

2021-06-24

Symptoms: Migraines and shakiness in injection arm as well as joint pain.

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDepressed mood ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROThirst ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release