Z74-21858-89440
3 vaccinations
6 coded responses
13 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 920 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
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2021-01-14
Dose 1 — Moderna
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Abdominal distension — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Bloating/distention/general abdominal discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Hepatic pain — Feeling: Good · Abdominal painFree text: Moderate abdominal distention and liver tendernessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Liver tenderness — Feeling: Good · Abdominal painFree text: Mild tenderness around the liver areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-28
- 2021-02-04
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2021-02-11
Dose 2 — Moderna
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2021-07-15
Survey response — 6 months, dose 1MedDRA: Asthenia, Brain fog, Memory impairment, Temperature intolerance — Feeling: GoodFree text: Feel heat intolerant most days and have problems with mental fog. Difficulty with short term memory. Reduced energy.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-12
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2022-01-05
Dose 3 — Moderna
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2022-02-13
Survey response — 12 months, dose 2MedDRA: Fatigue, Pain, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chronic inflammation- body aches and fatigueMedDRA releases: 2024-11 · check-in free text available
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2022-07-06
Survey response — 6 months, dose 3MedDRA: Anaemia, Arthralgia, Brain fog, Fatigue, Injected limb mobility decreased, Musculoskeletal stiffness, Pain in extremity — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Since receiving 3 vaccines in the right arm. Developed pain and stiffness like arthritis type ache chronically with limited mobility. Fatigue and mental fog continues to be prominent daily- dx of anemia continuesMedDRA releases: 2024-11 · check-in free text available
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2022-07-06
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-07
- 2023-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | No |
| 3 | 2022-01-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-06 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Bloating/distention/general abdominal discomfort
Systemic reaction (other): Moderate abdominal distention and liver tenderness
Systemic reaction (other): Mild tenderness around the liver area
Release 9 — 6 months, dose 1
Symptoms: Feel heat intolerant most days and have problems with mental fog. Difficulty with short term memory. Reduced energy.
Release 11 — 12 months, dose 2
Symptoms: Chronic inflammation- body aches and fatigue
Release 12 — 6 months, dose 3
Symptoms: Since receiving 3 vaccines in the right arm. Developed pain and stiffness like arthritis type ache chronically with limited mobility. Fatigue and mental fog continues to be prominent daily- dx of anemia continues
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 | Anaemia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | · | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Memory impairment | ✓ | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Temperature intolerance | ✓ | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Hepatic pain | ✓ | ✓ | ✓ |
| SRO | Liver tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release