ZEW-98415-33276
1 vaccination
4 coded responses
7 check-ins
4 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 724 / AR
- Registered
- 2021-01-16
- Relationship
- Self
Timeline
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2021-01-15
Dose 1 — Moderna
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2021-01-16
Registered in v-safe
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Eye irritation, Facial discomfort, Immediate post-injection reaction, Lacrimation increased, Migraine, Paraesthesia, Pharyngeal swelling, Pruritus, Retching, Throat irritation — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Tingling and prickly feeling on face and itching in ears, scalp and other areas of my body. Also scratchy throat that makes me gag. My throat feels a little swollen. My eyes have been burning and watering since about an hour after the injection. Severe migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Medical counselling, Respiratory tract congestion — Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Congestion · Healthcare visit (other): Call from my primary physicians nurseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Massage, Migraine, Office visit — Feeling: Poor · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Systemic reaction (other): Still coughing · Healthcare visit (other): Saw massage therapist and chiropractor trying to stop migraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-19
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Paranasal sinus discomfort — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Coughing and sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-22
Health check-in — day 7, dose 1Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to workAdult check-in
- 2021-02-05
- 2021-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-16 | Unsuccessful | |
| 2021-01-17 | Unsuccessful | |
| 2021-01-18 | Unsuccessful | |
| 2021-01-19 | Unsuccessful | |
| 2021-01-21 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Tingling and prickly feeling on face and itching in ears, scalp and other areas of my body. Also scratchy throat that makes me gag. My throat feels a little swollen. My eyes have been burning and watering since about an hour after the injection. Severe migraine.
Systemic reaction (other): Congestion
Healthcare visit (other): Call from my primary physicians nurse
Systemic reaction (other): Still coughing
Healthcare visit (other): Saw massage therapist and chiropractor trying to stop migraine
Systemic reaction (other): Coughing and sinus pressure
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 | Massage | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Migraine | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Facial discomfort | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lacrimation increased | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Retching | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release