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ZER-12318-74083

4 vaccinations 8 coded responses 48 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
785 / TX
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Registered in v-safe
  2. 2021-01-13
    Dose 1 — Moderna
  3. 2021-01-13
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  5. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry skin, Rash — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Dry scaley skin and rash on back of both hands
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry skin, Erythema, Skin exfoliation — Feeling: Good
    Free text: Tops of hands are still a little scaly and dry; some redness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-01-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-10
    Dose 2 — Moderna
  14. 2021-02-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  16. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sensitive skin — Feeling: Good
    Free text: Arm pit of the arm where I got the shot is a little sensitive
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  21. 2021-02-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-14
    Survey response — 3 months, dose 2
    MedDRA: Osteoporosis — Feeling: Good
    Free text: Osteoporosis diagnosis - but I am sure it's not related to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-13
    Survey response — 6 months, dose 2
    MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Swollen feet and ankles
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-08-13
    Report sent to call center — 6 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  30. 2021-08-23
  31. 2021-10-29
    Dose 3 — Moderna
  32. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  33. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough, Dry eye — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dry eyes, occasional cough
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  36. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  37. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-05
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-12
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-07-18
    Dose 4 — Moderna
  43. 2022-07-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  44. 2022-07-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-07-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  46. 2022-07-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-07-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-07-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Diarrhea
    Adult check-in
  49. 2022-07-25
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  50. 2022-08-01
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-08
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-08-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-08-24
    Survey response — day 35, dose 4
    MedDRA: Back pain, Cough, Fatigue, Headache, Oropharyngeal pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school
    Free text: Headache, fatigue, sore throat. Dry cough, back ache, sinus pressure, low grade fever, congestion
    MedDRA releases: 2024-11 · check-in free text available
  54. 2022-08-29
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-10-19
    Survey response — 3 months, dose 4
    MedDRA: Cough, Oral mucosal exfoliation — Feeling: Fair
    Free text: Peeling mouth, persistent cough
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna
32021-10-29Moderna No
42022-07-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-08-13 Unsuccessful

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Dry scaley skin and rash on back of both hands

2021-01-19

Systemic reaction (other): Tops of hands are still a little scaly and dry; some redness

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Arm pit of the arm where I got the shot is a little sensitive

Release 8 — 3 months, dose 2

2021-05-14

Symptoms: Osteoporosis diagnosis - but I am sure it's not related to the vaccine

Release 9 — 6 months, dose 2

2021-08-13

Symptoms: Swollen feet and ankles

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Dry eyes, occasional cough

Release 12 — day 35, dose 4

2022-08-24

Symptoms: Headache, fatigue, sore throat. Dry cough, back ache, sinus pressure, low grade fever, congestion

Release 12 — 3 months, dose 4

2022-10-19

Symptoms: Peeling mouth, persistent cough

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
SDBack pain · · ✓
SDCough · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDJoint swelling ✓ · ✓
SDOral mucosal exfoliation · · ✓
SDOropharyngeal pain · · ✓
SDOsteoporosis ✓ ✓ ✓
SDParanasal sinus discomfort · · ✓
SDPeripheral swelling ✓ · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SROCough · · ✓
SRODry eye · · ✓
SRODry skin ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSensitive skin ✓ ✓ ✓
SROSkin exfoliation ✓ ✓ ✓

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

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