Z7W-13250-38953
3 vaccinations
2 coded responses
36 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 773 / TX
- Registered
- 2020-12-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-26
Registered in v-safe
-
2020-12-26
Dose 1 — Moderna
-
2020-12-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness, NauseaAdult check-in
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
-
2021-01-09
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 10 days ofter the vaccine, my arm begin to turn red(circle) and swollen at the injection site and well beyond the original parameters. Was treated with 500 mg Keflex 3 x a day. It worked. The area is fine, no symptoms today. · Healthcare visit (other): PhysicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-09
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-16
-
2021-01-23
Dose 2 — Moderna
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
-
2021-02-06
Survey response — day 14, dose 2MedDRA: Blood pressure increased, Chills, Decreased appetite, Dry eye, Eye pain, Fatigue, Headache, Insomnia, Malaise, Nausea — Feeling: FairFree text: Headache and dry eyes with eye pain, chills nausea and loss of appetite, tired for the past week. BP a bit elevated. Was taking antihistamines for years, eyes too dry and painful now. Not sleeping all night and I wake up feeling sick, chills.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-16
- 2021-02-27
- 2021-03-09
- 2021-04-26
- 2021-07-26
-
2021-10-22
Dose 3 — Moderna
-
2021-10-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-26 | Moderna | |
| 2 | 2021-01-23 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Unsuccessful |
Free text
Release 1 — day 14, dose 1
Symptoms: 10 days ofter the vaccine, my arm begin to turn red(circle) and swollen at the injection site and well beyond the original parameters. Was treated with 500 mg Keflex 3 x a day. It worked. The area is fine, no symptoms today.
Healthcare visit (other): Physician
Release 3 — day 14, dose 2
Symptoms: Headache and dry eyes with eye pain, chills nausea and loss of appetite, tired for the past week. BP a bit elevated. Was taking antihistamines for years, eyes too dry and painful now. Not sleeping all night and I wake up feeling sick, chills.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Specialist consultation | ○ | ○ | ○ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Eye pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release