Z5G-26647-70918
2 vaccinations
6 coded responses
26 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 520 / IA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
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2021-01-06
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
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2021-01-20
Survey response — day 14, dose 1MedDRA: Insomnia — Feeling: GoodFree text: Terrible insomnia since 72 hours after vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
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2021-02-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Tremor — Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Shakes/shiversMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-03
Survey response — day 28, dose 2MedDRA: Pain, Pre-existing disease — Feeling: GoodFree text: Something I want you to know is that I broke my tailbone 3 days after the first dose. It started to feel normal and the night of the booster shot, it became as painful as the day I injured it. It still hurts but is getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-17
Survey response — day 42, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Left shoulder (joint soreness) and left elbow tenderness/weakness)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
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2021-08-04
Survey response — 6 months, dose 2MedDRA: Muscular weakness, Myalgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: All over muscle weakness and soreness, most pronounced in my left arm since my second Moderna shot in February. Im not sure I ever mentioned this before.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-04
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-14
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2022-02-03
Survey response — 12 months, dose 2MedDRA: Nervous system disorder — Feeling: Good · 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: Issues with the nerves in my arms. Have had 2 MRIs and started gabapentin last November with quite a bit of relief.MedDRA releases: 2024-11 · check-in free text available
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2022-02-03
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-04
- 2022-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-04 | Unsuccessful | |
| 2022-02-03 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: Terrible insomnia since 72 hours after vaccination
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Shakes/shivers
Release 5 — day 28, dose 2
Symptoms: Something I want you to know is that I broke my tailbone 3 days after the first dose. It started to feel normal and the night of the booster shot, it became as painful as the day I injured it. It still hurts but is getting better.
Release 5 — day 42, dose 2
Symptoms: Left shoulder (joint soreness) and left elbow tenderness/weakness)
Release 9 — 6 months, dose 2
Symptoms: All over muscle weakness and soreness, most pronounced in my left arm since my second Moderna shot in February. Im not sure I ever mentioned this before.
Release 11 — 12 months, dose 2
Symptoms: Issues with the nerves in my arms. Have had 2 MRIs and started gabapentin last November with quite a bit of relief.
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 | Insomnia | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Nervous system disorder | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release