ZEK-14182-27659
3 vaccinations
7 coded responses
13 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 601 / IL
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-15
Dose 1 — Moderna
-
2021-05-15
Dose 2 — Moderna
-
2021-05-17
Registered in v-safe
-
2021-05-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-05-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-06-15
Survey response — day 28, dose 2MedDRA: Injection site pruritus — Feeling: GoodFree text: Random itching at the sight of injection, no swelling, no redness. Not problematic just weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-21
Survey response — day 35, dose 2MedDRA: Asthenia, Fatigue — Feeling: FairFree text: Tiredness - If I dont stand up I feel very fatiguedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-03-26
Dose 3 — Moderna
-
2022-03-28
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Blood Sugar spikedMedDRA releases: 2024-11 · check-in free text available
-
2022-03-29
Survey response — days 1–6 daily, dose 3MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Blood Sugar spikedMedDRA releases: 2024-11 · check-in free text available
- 2022-04-04
-
2022-04-11
Survey response — day 14, dose 3MedDRA: Pruritus — Feeling: FairFree text: Itch has gone to the other arm I guess and now both arms are itching. No rash, I'm not scratching it when it itches but I do rub it to stop the itch. Seeing a Doctor on Friday.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-16
- 2022-04-23
-
2022-04-30
Survey response — day 35, dose 3MedDRA: Pruritus — Feeling: FairFree text: Itching comes and goes, nothing serious just annoying seeing that I only started getting this after the series of shots.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-09
-
2022-06-27
Survey response — 3 months, dose 3MedDRA: Joint swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I don't believe it is related-swelling around the ankles.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-27
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-06-28
- 2022-06-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-15 | Moderna | |
| 3 | 2022-03-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-18 | Unsuccessful | |
| 2022-06-27 | Unsuccessful |
Free text
Release 9 — day 28, dose 2
Symptoms: Random itching at the sight of injection, no swelling, no redness. Not problematic just weird.
Release 9 — day 35, dose 2
Symptoms: Tiredness - If I dont stand up I feel very fatigued
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Blood Sugar spiked
Systemic reaction (other): Blood Sugar spiked
Release 11 — day 14, dose 3
Symptoms: Itch has gone to the other arm I guess and now both arms are itching. No rash, I'm not scratching it when it itches but I do rub it to stop the itch. Seeing a Doctor on Friday.
Release 11 — day 35, dose 3
Symptoms: Itching comes and goes, nothing serious just annoying seeing that I only started getting this after the series of shots.
Release 12 — 3 months, dose 3
Symptoms: I don't believe it is related-swelling around the ankles.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release