ZAR-23006-47060
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 895 / NV
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 2MedDRA: Condition aggravated, Gait disturbance, Hemiparesis, Muscle tightness, Pre-existing disease — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: I have an autoimmune neurological condition that has been difficult to diagnose. I began to have a return of symptoms on 2-5-21. The symptoms have increased since that time and include right sided muscle weakness, muscle tightness, gait disturbance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Erythema, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Multiple Bumps on my leg. I had some of these 2 weeks after the first vaccine which went away and these new ones appeared last Tuesday but I could not fit a description in this box. They are quarter sized to pea sized, red, and feel like a deep bump.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-02-24
Survey response — day 28, dose 2MedDRA: Rash — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Bumps on my legs have worsened.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
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)
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
- 2021-08-06
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-17 | Unsuccessful | |
| 2021-02-24 | Unsuccessful |
Free text
Release 4 — day 14, dose 2
Symptoms: I have an autoimmune neurological condition that has been difficult to diagnose. I began to have a return of symptoms on 2-5-21. The symptoms have increased since that time and include right sided muscle weakness, muscle tightness, gait disturbance. cut off by CDC
Release 4 — day 21, dose 2
Symptoms: Multiple Bumps on my leg. I had some of these 2 weeks after the first vaccine which went away and these new ones appeared last Tuesday but I could not fit a description in this box. They are quarter sized to pea sized, red, and feel like a deep bump. cut off by CDC
Release 4 — day 28, dose 2
Symptoms: Bumps on my legs have worsened.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | ✓ | ✓ |
| SD | Hemiparesis | ✓ | ✓ | ✓ |
| SD | Muscle tightness | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release