ZCT-33943-95905
2 vaccinations
7 coded responses
12 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 787 / TX
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-18
Dose 1 — Moderna
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2021-02-07
Registered in v-safe
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2021-02-10
Survey response — day 21, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Though not serious, my left arm, where I received the first shot on January 18, is still occasionally sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Dose 2 — Moderna
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Skin burning sensation — Feeling: Fair · Fever · Chills, Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: Burning skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-19
Survey response — day 7, dose 2MedDRA: Fatigue, Injection site pain — Feeling: Good · Fatigue or tirednessFree text: I dont actually have fatigue but I had to check it to tell you about tenderness. Tenderness at the injection site that kasts for several weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-03-05
Survey response — day 21, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: The spot on my arm where I got the shot hurt last night. I got the second Moderna shot Feb 12.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — day 28, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: The spit on my left arm where I received the injections aches off and on. It aches enough that I notice it but it does not impair my movement. It was aching yesterday and today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 35, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: From time to time my arm hurts where I received the 2 shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-05-16
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2021-08-14
Survey response — 6 months, dose 2MedDRA: Ligament injury, Muscle neoplasm, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I do not think it is related to covid or the vaccine. I am so glad I am vaccinated. I pulled a ligament and now have a small tumor in the muscle in my thigh. · Healthcare visit (other): I visited doctors offices. As I wrote, it is not covid related.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-14
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-23
- 2022-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-14 | Unsuccessful |
Free text
Release 4 — day 21, dose 1
Symptoms: Though not serious, my left arm, where I received the first shot on January 18, is still occasionally sore.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Burning skin
Release 4 — day 7, dose 2
Systemic reaction (other): I dont actually have fatigue but I had to check it to tell you about tenderness. Tenderness at the injection site that kasts for several weeks
Release 5 — day 21, dose 2
Symptoms: The spot on my arm where I got the shot hurt last night. I got the second Moderna shot Feb 12.
Release 5 — day 28, dose 2
Symptoms: The spit on my left arm where I received the injections aches off and on. It aches enough that I notice it but it does not impair my movement. It was aching yesterday and today.
Release 5 — day 35, dose 2
Symptoms: From time to time my arm hurts where I received the 2 shots.
Release 9 — 6 months, dose 2
Symptoms: I do not think it is related to covid or the vaccine. I am so glad I am vaccinated. I pulled a ligament and now have a small tumor in the muscle in my thigh.
Healthcare visit (other): I visited doctors offices. As I wrote, it is not covid related.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Ligament injury | ✓ | · | ✓ |
| SD | Muscle neoplasm | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release