Z7X-99196-63491
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 932 / CA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
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2021-04-15
Dose 2 — Moderna
-
2021-04-21
Registered in v-safe
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Abdominal pain · Be unable to workAdult check-in
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2021-04-22
Survey response — day 7, dose 2MedDRA: Medical counselling, Throat irritation — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Ticklish throat · Healthcare visit (other): Called the clinic I recieved the vaccine.Have been advised to take a covid test.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 7, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 14, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Be unable to workFree text: I got better for 2 days, and then developed sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
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2021-05-20
Survey response — day 35, dose 2MedDRA: Diarrhoea, Dry throat, Inflammation — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Developed Diarrhea, have been having it for the past 5 days.Dry throat and noticable inflammation of throat that comes and goes and worsens when in cold environment.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Brain fog, Dizziness, Fatigue, Headache, Menstrual discomfort, Photophobia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Brainfog, I can't stare at the screen too long at work. Fatigue and headaches come together sometimes it's so bad I feel dizzy.Noticed an increase in discomfort during menstruation. Symptoms get worse during this time.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-15
Survey response — 6 months, dose 2MedDRA: Pharyngeal inflammation, Throat irritation, Upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Had a URI that would come and go from August to now. Occasionally wake up to inflammation in the back of my throat. The ticklish throat is constant.MedDRA releases: 2024-11 · check-in free text available
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2021-10-15
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-22 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2021-10-15 | Successful 2021-10-18 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): Ticklish throat
Healthcare visit (other): Called the clinic I recieved the vaccine.Have been advised to take a covid test.
Release 8 — day 14, dose 2
Symptoms: I got better for 2 days, and then developed sore throat.
Release 8 — day 35, dose 2
Symptoms: Developed Diarrhea, have been having it for the past 5 days.Dry throat and noticable inflammation of throat that comes and goes and worsens when in cold environment.
Release 9 — 3 months, dose 2
Symptoms: Brainfog, I can't stare at the screen too long at work. Fatigue and headaches come together sometimes it's so bad I feel dizzy.Noticed an increase in discomfort during menstruation. Symptoms get worse during this time.
Release 10 — 6 months, dose 2
Symptoms: Had a URI that would come and go from August to now. Occasionally wake up to inflammation in the back of my throat. The ticklish throat is constant.
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 | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | · | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Menstrual discomfort | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pharyngeal inflammation | · | · | ✓ |
| SD | Photophobia | ✓ | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release