Z83-40752-72819
3 vaccinations
10 coded responses
15 check-ins
9 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 728 / AR
- Registered
- 2022-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-07-20
Dose 1 — Moderna
-
2021-08-18
Dose 2 — Moderna
-
2022-02-11
Dose 3 — Moderna
-
2022-02-12
Registered in v-safe
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2022-02-12
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen lymph nodes in neck and armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-02-13
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Swollen and painful lymph nodes in neck and armpitMedDRA releases: 2024-11 · check-in free text available
-
2022-02-14
Survey response — days 1–6 daily, dose 3MedDRA: Allergic respiratory symptom, Lymphadenopathy, Sinus disorder — Feeling: Fair · HeadacheFree text: Swollen lymph node in neck; allergy/sinus symptomsMedDRA releases: 2024-11 · check-in free text available
-
2022-02-15
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Sinus disorder — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sinus/allergy symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-02-16
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Sinus disorder — Feeling: Fair · Muscle or body achesFree text: Sinus/allergy symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-02-17
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease, Sinus disorder — Feeling: Fair · Headache, Muscle or body achesFree text: Sinus/allergy symptomsMedDRA releases: 2024-11 · check-in free text available
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2022-02-18
Survey response — day 7, dose 3MedDRA: Adverse reaction, Sinus disorder — Feeling: Fair · Muscle or body achesFree text: Sinus/allergy symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-02-25
- 2022-03-04
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2022-03-11
Survey response — day 28, dose 3MedDRA: Cough, Lacrimation increased, Office visit, Oropharyngeal pain, Pyrexia, Sinus congestion — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fever, cough, sore throat, sinus congestion, watery eyes · Healthcare visit (other): Normal doctor's office visitMedDRA releases: 2024-11 · check-in free text available
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2022-03-11
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-17
- 2022-03-20
- 2022-03-25
- 2022-05-15
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2022-08-14
Survey response — 6 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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 consultationFree text: CovidMedDRA releases: 2024-11 · check-in free text available
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2022-08-14
Report sent to call center — 6 months, dose 3Be 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 · 1 call case(s)
- 2022-08-16
- 2022-08-16
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2023-02-13
Survey response — 12 months, dose 3MedDRA: Office visit, Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-02-13
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2023-02-14
- 2023-02-14
- 2023-02-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-20 | Moderna | No |
| 2 | 2021-08-18 | Moderna | No |
| 3 | 2022-02-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-11 | Unsuccessful | |
| 2022-08-14 | Unsuccessful | |
| 2023-02-13 | Unsuccessful |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in neck and armpit
Systemic reaction (other): Swollen and painful lymph nodes in neck and armpit
Systemic reaction (other): Swollen lymph node in neck; allergy/sinus symptoms
Systemic reaction (other): Sinus/allergy symptoms
Systemic reaction (other): Sinus/allergy symptoms
Systemic reaction (other): Sinus/allergy symptoms
Release 11 — day 7, dose 3
Systemic reaction (other): Sinus/allergy symptoms
Release 11 — day 28, dose 3
Symptoms: Fever, cough, sore throat, sinus congestion, watery eyes
Healthcare visit (other): Normal doctor's office visit
Release 12 — 6 months, dose 3
Symptoms: Covid
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Allergic respiratory symptom | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release