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ZDK-64540-56578

3 vaccinations 5 coded responses 17 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
224 / VA
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-25
    Dose 2 — Moderna
  3. 2021-04-08
    Registered in v-safe
  4. 2021-04-08
    Survey response — day 42, dose 2
    MedDRA: Asthenia, Injection site pain — Feeling: Fair
    Free text: The shot site from my first vaccine dose still has a pain sensation. Its a small area that hurts, deep miscle pain in that area. No rash or noticeable mark, loss of strength, it just still hurts.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  6. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-10-25
    Dose 3 — Moderna
  8. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  11. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  13. 2021-11-01
    Survey response — day 7, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Itching
    Free text: My very 1st shot injection site still has pain.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  15. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  16. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-29
    Survey response — day 35, dose 3
    MedDRA: Fatigue, Fibromyalgia, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fibromyalgia exhaustion. Also, olease note. The injection site of my FIRST covid vaccine still is painful.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: Diarrhoea, Headache, Injection site pain, Neck pain, Rhinorrhoea, Sneezing, Throat clearing — Feeling: Good · Be unable to work or attend school
    Free text: Had been sneezing for 2 days, had a drippy nose also had been clearing my throat those same 2 days, had a neck ache and head ache and diarrhea those days. Please note i still have shot site pain from my FIRST covid vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-10-25
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Fatigue, Malaise, Mental impairment, Oropharyngeal pain, Pain, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Had covid. Horrible sore throat, body aches, tremendous congestion in the face. Was put on steroids and was sick for 7 weeks. Still experiencing bouts of exhaustion and mental blanking.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-10-25
    Report sent to call center — 12 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  23. 2022-10-27

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-10-25Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-10-25 Unsuccessful

Free text

Release 7 — day 42, dose 2

2021-04-08

Symptoms: The shot site from my first vaccine dose still has a pain sensation. Its a small area that hurts, deep miscle pain in that area. No rash or noticeable mark, loss of strength, it just still hurts.

Release 10 — day 7, dose 3

2021-11-01

Systemic reaction (other): My very 1st shot injection site still has pain.

Release 10 — day 35, dose 3

2021-11-29

Symptoms: Fibromyalgia exhaustion. Also, olease note. The injection site of my FIRST covid vaccine still is painful.

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Had been sneezing for 2 days, had a drippy nose also had been clearing my throat those same 2 days, had a neck ache and head ache and diarrhea those days. Please note i still have shot site pain from my FIRST covid vaccine.

Release 12 — 12 months, dose 3

2022-10-25

Symptoms: Had covid. Horrible sore throat, body aches, tremendous congestion in the face. Was put on steroids and was sick for 7 weeks. Still experiencing bouts of exhaustion and mental blanking.

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
SDAsthenia ✓ ✓ ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDFatigue · · ✓
SDFibromyalgia · · ✓
SDHeadache · · ✓
SDInjection site pain ✓ ✓ ✓
SDMalaise · · ✓
SDMental impairment · · ✓
SDNeck pain · · ✓
SDOropharyngeal pain · · ✓
SDPain · · ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SDThroat clearing · · ✓
SROInjection site pain · · ✓

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