ZC2-26591-74000
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 990 / WA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-21
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-04-07
-
2021-04-13
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, DiarrheaAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-27
-
2021-05-05
Survey response — day 21, dose 2MedDRA: Asthenia, Diarrhoea, Dizziness, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Diarrhea, headache,lightheaded, weakness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — day 35, dose 2MedDRA: Anxiety, Asthenia, Confusional state, Decreased appetite, Diarrhoea, Headache, Heart rate increased, Irritability, Nausea — Feeling: Poor · 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 visitFree text: Confusion, Anxiety, rapid heart rate, diarrhea, headache, nausea, weakness, irritability, lack of appetite, and sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-25
Survey response — day 42, dose 2MedDRA: Anxiety, Asthenia, Coordination abnormal, Decreased appetite, Dizziness, Headache, Hypertension, Mydriasis, Office visit, Pain, Restlessness, Visual impairment — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Being treated for high blood pressure, anxiety, hypertension, body weakness, worsening eyesight with pupils dialating, headache, dizziness, lightheaded, unstable coordination, lack of appetite, restlessness, pain throughout my body, but no fever. · Healthcare visit (other): Dr. Appointment, and several trials with high blood pressure medications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-25
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Unsuccessful | |
| 2021-05-25 | Unsuccessful |
Free text
Release 8 — day 21, dose 2
Symptoms: Diarrhea, headache,lightheaded, weakness.
Release 8 — day 35, dose 2
Symptoms: Confusion, Anxiety, rapid heart rate, diarrhea, headache, nausea, weakness, irritability, lack of appetite, and sleep.
Release 8 — day 42, dose 2
Symptoms: Being treated for high blood pressure, anxiety, hypertension, body weakness, worsening eyesight with pupils dialating, headache, dizziness, lightheaded, unstable coordination, lack of appetite, restlessness, pain throughout my body, but no fever.
Healthcare visit (other): Dr. Appointment, and several trials with high blood pressure medications.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Confusional state | ✓ | ✓ | ✓ |
| SD | Coordination abnormal | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Irritability | ✓ | ✓ | ✓ |
| SD | Mydriasis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Restlessness | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release