Z7W-24998-13755
2 vaccinations
6 coded responses
10 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 402 / KY
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-02-05
Registered in v-safe
- 2021-02-05
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2021-02-08
Dose 2 — Moderna
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2021-02-08
Survey response — day 0, dose 2MedDRA: Burning sensation, Feeling hot, Hyperhidrosis — Feeling: Poor · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Profuse sweating. Feel extremely hot. I have my bedroom window open and it like 30 degrees outside am I feel like Im just burning up on the inside and sweating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Abdominal painAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Joint painsFree text: Pain in my left leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-03-02
Survey response — day 21, dose 2MedDRA: Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: HeadacheBody acheFatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 28, dose 2MedDRA: Condition aggravated, Fatigue, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Fatigue mostly. Hot flashes have worsened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-22
Survey response — day 42, dose 2MedDRA: Asthenia, Fatigue, Headache, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Headache, weakness, overly tired · Healthcare visit (other): In officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Report sent to call center — day 42, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-02-08
Survey response — 12 months, dose 2MedDRA: COVID-19, Immune system disorder, Office visit, Pain, Peripheral swelling, Swelling — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: I got COVId on 1/16/22 I had antibody infusion Immune issues now. Feet, hand, head swelling. Painful. · Healthcare visit (other): My doctor in personMedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-02-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-08 | Unsuccessful | |
| 2021-03-22 | Unsuccessful | |
| 2022-02-08 | Unsuccessful |
Free text
Release 3 — day 0, dose 2
Systemic reaction (other): Profuse sweating. Feel extremely hot. I have my bedroom window open and it like 30 degrees outside am I feel like Im just burning up on the inside and sweating.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in my left leg.
Release 4 — day 21, dose 2
Symptoms: HeadacheBody acheFatigue
Release 5 — day 28, dose 2
Symptoms: Fatigue mostly. Hot flashes have worsened.
Release 6 — day 42, dose 2
Release 11 — 12 months, dose 2
Symptoms: I got COVId on 1/16/22 I had antibody infusion Immune issues now. Feet, hand, head swelling. Painful.
Healthcare visit (other): My doctor in person
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immune system disorder | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release