ZEX-20061-15469
3 vaccinations
3 coded responses
26 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 297 / SC
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-25
Registered in v-safe
-
2021-04-29
Dose 2 — Moderna
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Fatigue, Myalgia, Sciatica — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Syatica nerve acting up, believe it is the problem for muscle aches, fatigue and tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
-
2021-05-27
Survey response — day 28, dose 2MedDRA: Diarrhoea, Fatigue, Medical counselling, Nausea, Sinusitis, Upper respiratory tract infection, Vomiting — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Upper respiratory infection, sinus infection, vomiting, diarrhea, chronic fatigue. Dr said not related to covid-19, hallelujah!!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-28
-
2021-11-09
Dose 3 — Moderna
- 2021-11-11
- 2021-11-12
- 2021-11-13
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-16
- 2021-12-21
-
2022-02-08
Survey response — 3 months, dose 3MedDRA: Arthralgia, Injected limb mobility decreased, Office visit, Pain in extremity — 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: Both arms that I received the vaccine and booster is causing alot of pain all thru my arms and shoulders. The left one is the worse. It's hurts constantly to the point I can't use it. · Healthcare visit (other): Appointment with GP in face.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — 3 months, dose 3Be 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)
- 2022-02-09
- 2022-05-13
- 2022-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-27 | Unsuccessful | |
| 2022-02-08 | Unsuccessful |
Free text
Release 8 — day 7, dose 2
Systemic reaction (other): Syatica nerve acting up, believe it is the problem for muscle aches, fatigue and tiredness.
Release 8 — day 28, dose 2
Symptoms: Upper respiratory infection, sinus infection, vomiting, diarrhea, chronic fatigue. Dr said not related to covid-19, hallelujah!!!
Release 11 — 3 months, dose 3
Symptoms: Both arms that I received the vaccine and booster is causing alot of pain all thru my arms and shoulders. The left one is the worse. It's hurts constantly to the point I can't use it.
Healthcare visit (other): Appointment with GP in face.
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 | Arthralgia | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injected limb mobility decreased | · | · | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release