Z7J-33812-66974
3 vaccinations
6 coded responses
27 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 779 / TX
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-20
Registered in v-safe
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2021-04-20
Dose 1 — Moderna
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2021-04-20
Survey response — day 0, dose 1MedDRA: Nervous system disorder, Sensory disturbance — Feeling: Fair · Site: Pain, SwellingFree text: Nerves feel a bit frayed..( sensorys are a bit over productive)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
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2021-04-27
Survey response — day 7, dose 1MedDRA: Axillary pain, Tenderness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in arm pit same side I got the shot. Very sore and tenderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-11
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2021-05-18
Dose 2 — Moderna
- 2021-05-18
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Skin all over very sensitiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-08-17
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2021-11-16
Survey response — 6 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash on back of arms and lower backMedDRA releases: 2024-11 · check-in free text available
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2022-06-23
Dose 3 — ModernaCo-administered: Tetanus
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2022-12-22
Survey response — 6 months, dose 3MedDRA: Dyspnoea, Hyperhidrosis, Oxygen saturation decreased — Feeling: Fair · 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 visit, HospitalizationFree text: Wake at night gasping for air. Oxygen sat drops to 88% when sleeping? undergoing tests now. It is not sleep apnea. (That test is already done) sweating episodes. (Not menapause related!).They can not figureout what is causing the sweating and SOB.MedDRA releases: 2024-11 · check-in free text available
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2022-12-22
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-12-23
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2023-06-23
Survey response — 12 months, dose 3MedDRA: Cardiac disorder, Emergency care, Fatigue, Myalgia — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna | |
| 3 | 2022-06-23 | Moderna | Tetanus |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-22 | Unsuccessful |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Nerves feel a bit frayed..( sensorys are a bit over productive)
Release 8 — day 7, dose 1
Systemic reaction (other): Pain in arm pit same side I got the shot. Very sore and tender
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Skin all over very sensitive
Release 10 — 6 months, dose 2
Symptoms: Rash on back of arms and lower back
Release 12 — 6 months, dose 3
Symptoms: Wake at night gasping for air. Oxygen sat drops to 88% when sleeping? undergoing tests now. It is not sleep apnea. (That test is already done) sweating episodes. (Not menapause related!).They can not figureout what is causing the sweating and SOB.
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 | Cardiac disorder | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oxygen saturation decreased | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Nervous system disorder | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release