Z7J-28537-14526
1 vaccination
6 coded responses
11 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 547 / WI
- Registered
- 2021-04-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-27
Registered in v-safe
-
2021-04-27
Dose 1 — Moderna
-
2021-04-27
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-28
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Cough, Somnolence — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Asthma is acting up, coughing this morning a lot. I literally slept all day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — days 1–6 daily, dose 1MedDRA: Asthma, Feeling hot, Pre-existing disease — Feeling: Good · FeverFree text: I just feel hot and my asthma has been acting up, but not anything badMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease, Rash — Feeling: Good · Headache, Rash, not including the immediate area around the injection siteFree text: I have eczema so pretty sure rash is from thatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-04
Survey response — day 7, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: Good · Headache, Rash, not including the immediate area around the injection siteFree text: Asthma is still acting upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Survey response — day 14, dose 1MedDRA: Anaphylactic shock, Injection site mass, Self-medication, Urticaria — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: On day 8 I developed a lump at the injection site and the a giant hive, and then about an hour and a half later I had anaphylaxis shock. I am still experiencing this since last Wednesday, I have to be on 60 prednisone and maxed out benedryl & pepcidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-11
Report sent to call center — day 14, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-18
Survey response — day 21, dose 1MedDRA: Blood pressure increased, Emergency care, Hypersensitivity — Feeling: Poor · Be unable to work, 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'm still on prednisone for the allergic reaction and today my blood pressure sky rocketed and I had to go in to the ER. The doctors think its the prednisone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-27
- 2021-07-27
- 2022-01-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-11 | Unsuccessful | |
| 2021-05-18 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Asthma is acting up, coughing this morning a lot. I literally slept all day.
Systemic reaction (other): I just feel hot and my asthma has been acting up, but not anything bad
Systemic reaction (other): I have eczema so pretty sure rash is from that
Release 8 — day 7, dose 1
Systemic reaction (other): Asthma is still acting up
Release 8 — day 14, dose 1
Symptoms: On day 8 I developed a lump at the injection site and the a giant hive, and then about an hour and a half later I had anaphylaxis shock. I am still experiencing this since last Wednesday, I have to be on 60 prednisone and maxed out benedryl & pepcid cut off by CDC
Release 8 — day 21, dose 1
Symptoms: I'm still on prednisone for the allergic reaction and today my blood pressure sky rocketed and I had to go in to the ER. The doctors think its the prednisone.
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 | Anaphylactic shock | ✓ | ✓ | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release