ZDJ-99213-69171
2 vaccinations
7 coded responses
21 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 180 / PA
- Registered
- 2021-10-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-10-04
Registered in v-safe
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2021-10-04
Dose 1 — Moderna
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2021-10-04
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-05
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Site: PainFree text: My knees were sore but that's normal for meMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Survey response — days 1–6 daily, dose 1MedDRA: Discomfort, Fatigue, Impaired driving ability, Limb injury, Muscular weakness, Pain in extremity — Feeling: Fair · Site: PainFree text: Just uncomfortable.. first day I was driving and got so tired I got my boyfriend to drive, and yesterday I couldn't hold anything for more then 5 seconds. I accidentally hit my arm on a table and wall, and my purse.. which is why it's probly sore nowMedDRA releases: 2024-11 · check-in free text available
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2021-10-08
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Phone died yesterday just wanted to say arm was a little sore&all other answers were same as todayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-09
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2021-10-10
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: I get random pain 2-3xs a day on the injection spot, but I think that may be from when I accidentally kept running into it the 2nd dayMedDRA releases: 2024-11 · check-in free text available
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2021-10-13
Survey response — day 7, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: Here and there I get soreness, but not like I got punched painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-20
- 2021-10-25
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2021-11-01
Dose 2 — Moderna
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2021-11-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, VomitingAdult check-in
- 2021-11-05
- 2021-11-06
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2021-11-08
Survey response — day 7, dose 2MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good · Site: PainFree text: Arm gets randomly sore at injection spot at random times sometimes accompanied by shooting pain going down armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-05-02
Survey response — 6 months, dose 2MedDRA: Brain fog, Chronic gastritis, Office visit, Renal impairment — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Kidney function at 59%, foggy head, chronic gastritis · Healthcare visit (other): Dr visitsMedDRA releases: 2024-11 · check-in free text available
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2022-05-02
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-05-04
- 2022-11-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-10-04 | Moderna | No |
| 2 | 2021-11-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-02 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 1
Systemic reaction (other): My knees were sore but that's normal for me
Systemic reaction (other): Just uncomfortable.. first day I was driving and got so tired I got my boyfriend to drive, and yesterday I couldn't hold anything for more then 5 seconds. I accidentally hit my arm on a table and wall, and my purse.. which is why it's probly sore now cut off by CDC
Systemic reaction (other): Phone died yesterday just wanted to say arm was a little sore&all other answers were same as today
Systemic reaction (other): I get random pain 2-3xs a day on the injection spot, but I think that may be from when I accidentally kept running into it the 2nd day
Release 10 — day 7, dose 1
Systemic reaction (other): Here and there I get soreness, but not like I got punched pain
Release 10 — day 7, dose 2
Systemic reaction (other): Arm gets randomly sore at injection spot at random times sometimes accompanied by shooting pain going down arm
Release 11 — 6 months, dose 2
Symptoms: Kidney function at 59%, foggy head, chronic gastritis
Healthcare visit (other): Dr visits
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 | Brain fog | · | · | ✓ |
| SD | Chronic gastritis | · | · | ✓ |
| SD | Renal impairment | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Impaired driving ability | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Limb injury | · | · | ✓ |
| SRO | Muscular weakness | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release