Z7B-14038-58762
5 vaccinations
7 coded responses
67 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 352 / AL
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: I suffer from seasonal allergies so the headache could be allergy relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pre-existing disease — Feeling: Good · HeadacheFree text: Headache could be seasonal pollen allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Erythema, Hypoaesthesia, Injection site pain, Injection site swelling, Injection site vesicles, Paraesthesia, Pyrexia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I'm not sure if it's related. I had my fist Shingrix vaccine on 9/17 in the same arm as my Moderna vaccinations. I had numbness tingling and redness in my face and extremities after the shot as well as injection site pain, blisters, swelling & feverMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-10-28
-
2021-11-17
Dose 3 — Moderna
-
2021-11-17
Survey response — day 0, dose 3MedDRA: Dizziness, Immediate post-injection reaction — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Felt faint 10 minutes after injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: GoodFree text: Head congestionAdult check-in · check-in free text available
- 2021-11-24
-
2021-12-01
Survey response — day 14, dose 3MedDRA: Migraine — Feeling: FairFree text: Migraine 12/1MedDRA releases: 2024-11 · check-in free text available
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-02-16
- 2022-05-18
-
2022-07-22
Dose 4 — Moderna
- 2022-07-22
-
2022-07-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-07-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body achesAdult check-in
- 2022-07-25
- 2022-07-26
- 2022-07-27
- 2022-07-28
- 2022-07-29
- 2022-08-05
- 2022-08-13
- 2022-08-19
- 2022-08-26
- 2022-09-02
- 2022-10-21
-
2022-10-27
Dose 5 — Moderna
- 2022-10-27
-
2022-10-28
Survey response — days 1–6 daily, dose 5MedDRA: Rhinorrhoea, Sinus congestion — Feeling: GoodFree text: Sinus congestion and runny noseMedDRA releases: 2024-11 · check-in free text available
-
2022-10-29
Survey response — days 1–6 daily, dose 5MedDRA: Sinus congestion — Feeling: Good · Site: PainFree text: Sinus congestion- mildMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-07-22 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-22 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I suffer from seasonal allergies so the headache could be allergy related
Systemic reaction (other): Headache could be seasonal pollen allergies
Release 10 — 6 months, dose 2
Symptoms: I'm not sure if it's related. I had my fist Shingrix vaccine on 9/17 in the same arm as my Moderna vaccinations. I had numbness tingling and redness in my face and extremities after the shot as well as injection site pain, blisters, swelling & fever cut off by CDC
Release 10 — day 0, dose 3
Systemic reaction (other): Felt faint 10 minutes after injection
Release 10 — day 14, dose 3
Symptoms: Migraine 12/1
Release 12 — days 1–6 daily, dose 3
Systemic reaction (other): Head congestion
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Sinus congestion and runny nose
Systemic reaction (other): Sinus congestion- mild
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 | Erythema | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site vesicles | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sinus congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release