Z55-27553-93677
5 vaccinations
8 coded responses
51 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 210 / MD
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-15
Registered in v-safe
-
2021-02-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-16
- 2021-02-17
-
2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Muscle twitching — Feeling: GoodFree text: I have had minor twitching in my upper lip, beneath my nose. I do, however, experience muscle twitching occasionally.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 1MedDRA: Muscle twitching — Feeling: GoodFree text: Wry mild twitching of my upper lip continues, but it is much less frequent today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Tinnitus — Feeling: GoodFree text: My tinnitus has been constant and more prominent since the second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease, Tinnitus — Feeling: GoodFree text: Tinnitus continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: The tinnitus continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — day 7, dose 2MedDRA: Tinnitus — Feeling: GoodFree text: The tinnitus seems to be improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-03
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-11-12
Dose 3 — Moderna
- 2022-03-12
-
2022-05-06
Dose 4 — Moderna
-
2022-05-06
Survey response — day 0, dose 4MedDRA: Depressed mood — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: SadnessMedDRA releases: 2024-11 · check-in free text available
- 2022-05-07
-
2022-05-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-13
- 2022-05-22
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-08-06
-
2022-09-30
Dose 5 — Moderna
-
2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Respiratory tract infection viral — Feeling: Fair · Be unable to work or attend school, 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 developed a respiratory virus a couple weeks w.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-30
Report sent to call center — 3 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-01-03
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-30 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have had minor twitching in my upper lip, beneath my nose. I do, however, experience muscle twitching occasionally.
Release 4 — day 7, dose 1
Systemic reaction (other): Wry mild twitching of my upper lip continues, but it is much less frequent today.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My tinnitus has been constant and more prominent since the second dose.
Systemic reaction (other): Tinnitus continues
Systemic reaction (other): The tinnitus continues.
Release 6 — day 7, dose 2
Systemic reaction (other): The tinnitus seems to be improving.
Release 11 — day 0, dose 4
Systemic reaction (other): Sadness
Release 12 — 3 months, dose 5
Symptoms: I developed a respiratory virus a couple weeks w.
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 | Respiratory tract infection viral | · | · | ✓ |
| SRO | Depressed mood | · | · | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release