Z9F-12823-89265
2 vaccinations
6 coded responses
16 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 956 / CA
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
- 2021-01-04
- 2021-01-05
- 2021-01-07
- 2021-01-12
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-05
Dose 2 — Moderna
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Hyperphagia — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sweating at niggt, eating moreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-20
-
2021-03-08
Survey response — day 28, dose 2MedDRA: Dry skin, Rash — Feeling: GoodFree text: Small painless rough rash on my left arm size of a quarter. It grew from size of a dime. Appeared next day after 1st shot, worsened after 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
-
2021-03-19
Survey response — day 42, dose 2MedDRA: Night sweats, Urticaria — Feeling: FairFree text: Night sweats, hives ever since 2nd shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-07
Survey response — 3 months, dose 2MedDRA: Aphasia, Exfoliative rash, Hyperhidrosis, Pyrexia, Urticaria — Feeling: FairFree text: Still have rough rash, forgetting basic words, hot sweats turned into mild feverish hives like sensation intermittently without cause fully bodyI havent taken any of the below tests to validate and avoid doctors unless very seriousMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-06
Survey response — 6 months, dose 2MedDRA: Brain fog, Cold sweat, Diarrhoea, Oropharyngeal pain, Pruritus, Rash, Urticaria — Feeling: Fair · Be unable to work or attend schoolFree text: Intermittently I have diarrhea like I did before I get hives and I have cold sweats I occasionally get sore throats and definitely have brain fog I can feel when I'm reacting to sickness it feels like I have itchy hives all over my body and the rashMedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-05
Survey response — 12 months, dose 2MedDRA: Ageusia, Anosmia, Brain fog, Pre-existing disease, Renal disorder, Surgery — 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 · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Brain fog, loss of regular taste and smell, sudden kidney issues and surgery in December - still not sure if related to omicron symptoms weeks prior.MedDRA releases: 2024-11 · check-in free text available
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2022-02-05
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 prOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
-
2022-02-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-05 | Successful 2022-02-08 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sweating at niggt, eating more
Release 5 — day 28, dose 2
Symptoms: Small painless rough rash on my left arm size of a quarter. It grew from size of a dime. Appeared next day after 1st shot, worsened after 2nd shot.
Release 5 — day 42, dose 2
Symptoms: Night sweats, hives ever since 2nd shot
Release 8 — 3 months, dose 2
Symptoms: Still have rough rash, forgetting basic words, hot sweats turned into mild feverish hives like sensation intermittently without cause fully bodyI havent taken any of the below tests to validate and avoid doctors unless very serious
Release 9 — 6 months, dose 2
Symptoms: Intermittently I have diarrhea like I did before I get hives and I have cold sweats I occasionally get sore throats and definitely have brain fog I can feel when I'm reacting to sickness it feels like I have itchy hives all over my body and the rash cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Brain fog, loss of regular taste and smell, sudden kidney issues and surgery in December - still not sure if related to omicron symptoms weeks prior.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Aphasia | ✓ | ✓ | ✓ |
| SD | Brain fog | ✓ | · | ✓ |
| SD | Cold sweat | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Dry skin | ✓ | ✓ | ✓ |
| SD | Exfoliative rash | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Renal disorder | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Hyperphagia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release