ZCH-39533-59988
2 vaccinations
6 coded responses
12 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 400 / KY
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-07
Dose 1 — Moderna
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2021-01-09
Registered in v-safe
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Cyanosis, Hypoaesthesia, Paraesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Day after vaccination, had tingling and numbness in feet with cyanosis discoloration to toesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Ageusia, Anosmia, Hair texture abnormal, Laboratory test abnormal, Palpitations, SARS-CoV-2 test negative — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Loss of taste and smell . Heart palpitations with trying to dry my hair yesterday . Went to doctor to get rapid test and it's positiveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-21
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2021-01-28
Survey response — day 21, dose 1MedDRA: Diarrhoea, Nausea, SARS-CoV-2 test positive — Feeling: FairFree text: Diarrhea the last 4 days if I eat ,2 waves of mild nausea this morning . I had a positive Covid test on 1/11/21 .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Dose 2 — Moderna
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Pain and swelling in neck lymph node on the same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia, Pruritus, Self-medication — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slept a lot on day one and day 2 . Had an itchy abdomen and itchy nose as if I was around something I am allergic to on day one . Took Benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Fatigue, Head discomfort, Headache, Neck pain — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fell asleep at 6 pm from unusual fatigue, awakened at 10pm to go to the restroom and was off balance . The right side of my head felt heavier . Have been dealing with the same headache and neck pain todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-12
- 2021-02-18
- 2021-02-19
- 2021-03-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-09 | Unsuccessful | |
| 2021-01-11 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Day after vaccination, had tingling and numbness in feet with cyanosis discoloration to toes
Systemic reaction (other): Loss of taste and smell . Heart palpitations with trying to dry my hair yesterday . Went to doctor to get rapid test and it's positive
Release 2 — day 21, dose 1
Symptoms: Diarrhea the last 4 days if I eat ,2 waves of mild nausea this morning . I had a positive Covid test on 1/11/21 .
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Pain and swelling in neck lymph node on the same side as injection
Systemic reaction (other): Slept a lot on day one and day 2 . Had an itchy abdomen and itchy nose as if I was around something I am allergic to on day one . Took Benadryl.
Systemic reaction (other): Fell asleep at 6 pm from unusual fatigue, awakened at 10pm to go to the restroom and was off balance . The right side of my head felt heavier . Have been dealing with the same headache and neck pain today
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Ageusia | ✓ | ✓ | ✓ |
| SRO | Anosmia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Cyanosis | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hair texture abnormal | ○ | ✓ | ○ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Laboratory test abnormal | ✓ | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | ○ | ✓ | ○ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release