Z7B-20974-05409
2 vaccinations
8 coded responses
26 check-ins
8 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 531 / WI
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-08
Registered in v-safe
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2021-01-08
Dose 1 — Moderna
- 2021-01-08
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2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fever · Muscle or body aches, DiarrheaAdult check-in
- 2021-01-10
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Hypoaesthesia, Muscular weakness — Feeling: Fair · Fever · Muscle or body achesFree text: Weakness and numbness in both armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Poor · Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Occassionally hard to take a deep breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Good · Headache, Muscle or body achesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: GoodFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-22
- 2021-01-29
- 2021-02-07
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2021-02-12
Dose 2 — Moderna
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2021-02-12
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Disturbance in attention — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: Inability to focus like I usually can.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-16
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush — Feeling: Good · Fever · Muscle or body achesFree text: Do hot flashes count as fever? HahaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-15
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2021-08-13
Survey response — 6 months, dose 2MedDRA: Asthma, Cough, Hypersensitivity, Inflammation, Office visit — Feeling: Poor · 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: Symptoms: Immune system feels inflamed. I have developed coughing fits that are being blamed on allergies & asthma which I NEVER had before the vaccine. I never tested positive for Covid! I worked at the testing site and vaccine clinic. · Healthcare visit (other): Many different doctor visits!MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-13
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-18
- 2021-08-19
- 2021-08-23
- 2021-08-24
- 2021-08-25
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Cough — Feeling: Good · Be unable to work or attend schoolFree text: Chronic dry coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-12 | priority 2/3 | |
| 2021-08-13 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Weakness and numbness in both arms
Systemic reaction (other): Occassionally hard to take a deep breath
Systemic reaction (other): Shortness of breath
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Shortness of breath
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Inability to focus like I usually can.
Systemic reaction (other): Do hot flashes count as fever? Haha
Release 9 — 6 months, dose 2
Symptoms: Immune system feels inflamed. I have developed coughing fits that are being blamed on allergies & asthma which I NEVER had before the vaccine. I never tested positive for Covid! I worked at the testing site and vaccine clinic.
Healthcare visit (other): Many different doctor visits!
Release 11 — 12 months, dose 2
Symptoms: Chronic dry cough
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Asthma | ✓ | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Hypersensitivity | ✓ | · | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release