Z7K-25070-46731
1 vaccination
4 coded responses
6 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 180 / PA
- Registered
- 2021-02-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-21
Registered in v-safe
- 2021-02-21
-
2021-02-26
Survey response — day 21, dose 1MedDRA: Arthralgia, Axillary pain, Musculoskeletal pain, Oedema peripheral, Pain in extremity — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Arm aching more this week then prior week. Pain in shoulder and shoulder blade. Axillary swelling and discomfort returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Report sent to call center — day 21, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-05
Survey response — day 28, dose 1MedDRA: Axillary pain, Pain in extremity — Feeling: Poor · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Arm of injection still aching with axillary pain continuing. Was advised to postpone 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Report sent to call center — day 28, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-12
Survey response — day 35, dose 1MedDRA: Dizziness, Headache, Lymph node pain — Feeling: GoodFree text: Gland tenderness, dizziness and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 1MedDRA: Dizziness — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Aching arm for 5 weeks along with swollen glands and feeling unwell on and off for 6 week prior to the first dose. Also was dizzy and nausea. I didnt return for a second dose as Im concerned the side effects lasted too long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-07
Report sent to call center — 3 months, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-17
- 2021-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-26 | Unsuccessful | |
| 2021-03-05 | Unsuccessful | |
| 2021-05-07 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: Arm aching more this week then prior week. Pain in shoulder and shoulder blade. Axillary swelling and discomfort returned.
Release 5 — day 28, dose 1
Symptoms: Arm of injection still aching with axillary pain continuing. Was advised to postpone 2nd dose.
Release 5 — day 35, dose 1
Symptoms: Gland tenderness, dizziness and headache
Release 8 — 3 months, dose 1
Symptoms: Aching arm for 5 weeks along with swollen glands and feeling unwell on and off for 6 week prior to the first dose. Also was dizzy and nausea. I didnt return for a second dose as Im concerned the side effects lasted too long.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Axillary pain | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release