Z4U-98913-51070
1 vaccination
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 275 / NC
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: I feel OK, but as though I am not fully recovered from a virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Loss of personal independence in daily activities — Feeling: Good · Fatigue or tirednessFree text: I can do my daily activities but it takes more effort and more time now, since dose 1 of the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — day 7, dose 1MedDRA: Adverse reaction, Loss of personal independence in daily activities — Feeling: Fair · Muscle or body achesFree text: My body has not recovered from the vaccine, daily activities are a struggle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 14, dose 1MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More all-over aches and painsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 21, dose 1MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: More pain throughout my body. Seems like nerve ending pain. Worst pain is in right arm and shoulder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 28, dose 1MedDRA: Arthralgia, Headache, Pain, Pain in extremity — Feeling: Fair · 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: Pain in left shoulder and upper arm. Jolts of pain in head and other places throughout my body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
- 2022-02-26
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-26 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I feel OK, but as though I am not fully recovered from a virus
Systemic reaction (other): I can do my daily activities but it takes more effort and more time now, since dose 1 of the vaccine
Release 5 — day 7, dose 1
Systemic reaction (other): My body has not recovered from the vaccine, daily activities are a struggle.
Release 5 — day 14, dose 1
Symptoms: More all-over aches and pains
Release 5 — day 21, dose 1
Symptoms: More pain throughout my body. Seems like nerve ending pain. Worst pain is in right arm and shoulder.
Release 6 — day 28, dose 1
Symptoms: Pain in left shoulder and upper arm. Jolts of pain in head and other places throughout my body.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release