Z6Z-13938-89070
4 vaccinations
23 coded responses
52 check-ins
22 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 324 / FL
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Registered in v-safe
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2021-04-08
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
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2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Pruritus, Swelling — Feeling: Fair · Site: Pain, Swelling, ItchingFree text: The pain, swelling and itching I'm experiencing are in the lymph glands in my armpit of the arm I received the vaccine in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Pruritus — Feeling: Fair · Fatigue or tirednessFree text: Itchy, pain and swelling in my armpit, lymph nodes of arm I got the injection in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: GoodFree text: Still some slight soreness under my armpit, lymph nodes of arm I got the injection in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
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2021-05-06
Dose 2 — Moderna
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2021-05-06
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: FairFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 28, dose 2MedDRA: Synovial cyst — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I had symptoms of a blood clot but ended up being a popliteal cyst.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-10
- 2021-06-17
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2021-08-05
Survey response — 3 months, dose 2MedDRA: Basal cell carcinoma — Feeling: GoodFree text: BCC.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-04
Survey response — 6 months, dose 2MedDRA: Upper respiratory tract infection — Feeling: Good · Be unable to do your normal daily activitiesFree text: Upper respiratory infection.MedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Dose 3 — Moderna
- 2021-11-08
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Site: PainFree text: Persistent coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Be unable to do your normal daily activitiesFree text: RespiratoryMedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: RespiratoryMedDRA releases: 2024-11 · check-in free text available
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: FairFree text: RespiratoryMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: FairFree text: RespiratoryMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
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2022-02-07
Survey response — 3 months, dose 3MedDRA: Nasopharyngitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Cold symptoms, wasn't tested for Covid so I don't know what it was.MedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Survey response — 6 months, dose 3MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Knee injections.MedDRA releases: 2024-11 · check-in free text available
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2022-07-12
Dose 4 — Moderna
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2022-07-13
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea — Feeling: Fair · Site: Redness, SwellingFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
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2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Swelling · Fatigue or tirednessFree text: Lymph node swellingMedDRA releases: 2024-11 · check-in free text available
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2022-07-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-07-18
- 2022-07-19
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2022-07-26
Survey response — day 14, dose 4MedDRA: Productive cough — Feeling: GoodFree text: Excessive phlegmMedDRA releases: 2024-11 · check-in free text available
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2022-08-02
Survey response — day 21, dose 4MedDRA: Dyspnoea, Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: Feeling like a cold is coming on with short breath and runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-09
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2022-08-16
Survey response — day 35, dose 4MedDRA: Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Congestion, runny nose, a bit of a sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
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2023-01-10
Survey response — 6 months, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-01-10
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-01-11
- 2023-01-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-07-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-03 | Unsuccessful | |
| 2023-01-10 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): The pain, swelling and itching I'm experiencing are in the lymph glands in my armpit of the arm I received the vaccine in.
Systemic reaction (other): Itchy, pain and swelling in my armpit, lymph nodes of arm I got the injection in.
Systemic reaction (other): Still some slight soreness under my armpit, lymph nodes of arm I got the injection in.
Release 8 — day 0, dose 2
Systemic reaction (other): Dizziness
Release 8 — day 28, dose 2
Symptoms: I had symptoms of a blood clot but ended up being a popliteal cyst.
Release 9 — 3 months, dose 2
Symptoms: BCC.
Release 10 — 6 months, dose 2
Symptoms: Upper respiratory infection.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Persistent cough
Systemic reaction (other): Respiratory
Systemic reaction (other): Respiratory
Systemic reaction (other): Dizzy
Systemic reaction (other): Respiratory
Release 10 — day 7, dose 3
Systemic reaction (other): Respiratory
Release 11 — 3 months, dose 3
Symptoms: Cold symptoms, wasn't tested for Covid so I don't know what it was.
Release 11 — 6 months, dose 3
Symptoms: Knee injections.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
Systemic reaction (other): Runny nose
Systemic reaction (other): Lymph node swelling
Systemic reaction (other): Lymph node swelling
Release 12 — day 14, dose 4
Symptoms: Excessive phlegm
Release 12 — day 21, dose 4
Symptoms: Feeling like a cold is coming on with short breath and runny nose.
Release 12 — day 35, dose 4
Symptoms: Congestion, runny nose, a bit of a sore throat
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 | Basal cell carcinoma | ✓ | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Synovial cyst | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release