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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

  1. 2021-01-18
    Dose 1 — Moderna
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-10
    Survey response — day 21, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free 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
  4. 2021-02-12
    Dose 2 — Moderna
  5. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Skin burning sensation — Feeling: Fair · Fever · Chills, Headache · Be unable to work, Be unable to do your normal daily activities
    Free text: Burning skin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-02-19
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Injection site pain — Feeling: Good · Fatigue or tiredness
    Free 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 weeks
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-05
    Survey response — day 21, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free 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
  10. 2021-03-12
    Survey response — day 28, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free 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
  11. 2021-03-19
    Survey response — day 35, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free 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
  12. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-16
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-14
    Survey response — 6 months, dose 2
    MedDRA: Ligament injury, Muscle neoplasm, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free 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
  15. 2021-08-14
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  16. 2021-08-23
  17. 2022-02-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-12Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-08-14 Unsuccessful

Free text

Release 4 — day 21, dose 1

2021-02-10

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

2021-02-17

Systemic reaction (other): Burning skin

Release 4 — day 7, dose 2

2021-02-19

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

2021-03-05

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

2021-03-12

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

2021-03-19

Symptoms: From time to time my arm hurts where I received the 2 shots.

Release 9 — 6 months, dose 2

2021-08-14

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ · ✓
SDInjection site pain ✓ ✓ ✓
SDLigament injury ✓ · ✓
SDMuscle neoplasm ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓

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