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ZAT-40451-14949

2 vaccinations 11 coded responses 18 check-ins 11 free-text entries 8 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
454 / OH
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-01-19
    Registered in v-safe
  3. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-01-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: floating" feeling when lying down
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-02-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-15
    Survey response — day 28, dose 1
    MedDRA: Chills, Fatigue, Hot flush, Myalgia, Nasal congestion, Nasopharyngitis, Rhinorrhoea — Feeling: Fair
    Free text: Cold-like symptomsStuffy head and noseRunny noseFatigueMuscle achesChills and hot flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-18
    Dose 2 — Moderna
  10. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hot flush — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Hot flashes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Dyspnoea, Muscle twitching, Paraesthesia, Visual impairment — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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 visit
    Free text: Muscle twitches, difficulty breathing, weakness, tingling in limbs, vision impairment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-22
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  13. 2021-02-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Blepharospasm, Chromatopsia, Head discomfort, Hypoaesthesia, Muscle twitching — Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Weakness, pressure in head, muscle twitches, vision changes, unable to open eyes at times, numbness on right side of face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-23
    Report sent to call center — days 1–6 daily, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  15. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Chest pain, Dyspnoea, Eyelid ptosis — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit
    Free text: Difficulty breathing, droopy eye, chest pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-25
    Report sent to call center — day 7, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-03-04
    Survey response — day 14, dose 2
    MedDRA: Asthenia, Dyspnoea, Eyelid ptosis, Fatigue, Office visit, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: PtosisBlurry visionDifficulty breathingWeaknessFatigue · Healthcare visit (other): Referral to neurology
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-04
    Report sent to call center — day 14, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-03-11
    Survey response — day 21, dose 2
    MedDRA: Arthralgia, Eyelid ptosis, Fatigue, Muscular weakness, Unevaluable event — Feeling: Poor · Be unable to work, 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 visit
    Free text: Symptoms: Ptosis, fatigue, muscle weakness, joint pain · Healthcare visit (other): Referred to neurology
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-11
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-03-20
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-04-01
    Survey response — day 42, dose 2
    MedDRA: Dyspnoea, Eyelid ptosis, Fatigue, Medical counselling, Muscular weakness, Nausea, Vertigo, Vomiting — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Fatigue, muscle weakness, nausea, vomiting, vertigo, ptosis, difficulty breathing · Healthcare visit (other): Specialist, testing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-01
    Report sent to call center — day 42, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-05-20
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Myalgia, Unevaluable event — Feeling: Fair · Be unable to work, 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 visit
    Free text: Symptoms: Muscle and joint aches and pain · Healthcare visit (other): Testing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-20
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-06-09
    Call successful
    Participant prefers to complete VAERS report online
  28. 2021-08-19
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  29. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia — Feeling: Fair · 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 visit
    Free text: Severe joint pain
    MedDRA releases: 2024-11 · check-in free text available
  30. 2022-02-18
    Report sent to call center — 12 months, dose 2
    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 visit · 1 call case(s)
  31. 2022-02-21
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-18Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-22 Successful Participant prefers to complete VAERS report online
2021-02-23 Successful Participant prefers to complete VAERS report online
2021-02-25 Successful Participant prefers to complete VAERS report online
2021-03-04 Successful Participant prefers to complete VAERS report online
2021-03-11 Successful Participant prefers to complete VAERS report online
2021-04-01 Successful Participant prefers to complete VAERS report online
2021-05-20 Successful
2021-06-09
Participant prefers to complete VAERS report online
2022-02-18 Successful
2022-02-21
Participant prefers to complete VAERS report online

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): floating" feeling when lying down

Release 4 — day 28, dose 1

2021-02-15

Symptoms: Cold-like symptomsStuffy head and noseRunny noseFatigueMuscle achesChills and hot flashes

Release 4 — days 1–6 daily, dose 2

2021-02-20

Systemic reaction (other): Hot flashes

2021-02-22

Systemic reaction (other): Muscle twitches, difficulty breathing, weakness, tingling in limbs, vision impairment

2021-02-23

Systemic reaction (other): Weakness, pressure in head, muscle twitches, vision changes, unable to open eyes at times, numbness on right side of face

Release 4 — day 7, dose 2

2021-02-25

Systemic reaction (other): Difficulty breathing, droopy eye, chest pain

Release 5 — day 14, dose 2

2021-03-04

Symptoms: PtosisBlurry visionDifficulty breathingWeaknessFatigue
Healthcare visit (other): Referral to neurology

Release 5 — day 21, dose 2

2021-03-11

Symptoms: Ptosis, fatigue, muscle weakness, joint pain
Healthcare visit (other): Referred to neurology

Release 6 — day 42, dose 2

2021-04-01

Symptoms: Fatigue, muscle weakness, nausea, vomiting, vertigo, ptosis, difficulty breathing
Healthcare visit (other): Specialist, testing

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Muscle and joint aches and pain
Healthcare visit (other): Testing

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Severe joint pain

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

FieldPreferred term2021-092023-042024-11
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
HCVOUnevaluable event ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEyelid ptosis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHot flush ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDVertigo ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBlepharospasm ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROChromatopsia ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEyelid ptosis ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROMuscle twitching ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release