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
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2021-02-25
Registered in v-safe
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2021-02-25
Dose 1 — Moderna
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2021-02-25
Health check-in — day 0, dose 1Feeling: Good · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Slight numbness at injected arm when first got. Gone today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
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2021-03-11
Survey response — day 14, dose 1MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2021-03-18
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2021-03-25
Dose 2 — Moderna
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: ThirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Bitter tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Oropharyngeal pain — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat; cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-08
Survey response — day 14, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Fever still between 98 and 99 on two different thermometers.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 21, dose 2MedDRA: Cough, Depressed mood, Nasopharyngitis — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree 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 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
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2021-06-24
Survey response — 3 months, dose 2MedDRA: 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 visitFree 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
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2021-06-24
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-30
- 2021-09-23
- 2022-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-24 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Slight numbness at injected arm when first got. Gone today.
Release 5 — day 14, dose 1
Symptoms: A fever of 99 for two days on and off and one of 100.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Thirst
Systemic reaction (other): Bitter taste
Systemic reaction (other): Sore throat; cough.
Release 7 — day 14, dose 2
Symptoms: Fever still between 98 and 99 on two different thermometers.
Release 7 — day 21, dose 2
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Depressed mood | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release