ZEX-49831-31004
4 vaccinations
1 coded response
34 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 577 / SD
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Medical counselling, Swelling face — Feeling: Poor · Site: Pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): On Thursday the day following my shot I felt very foggy and seem as though the mind took time sending messages to other parts of the body, I called it sloth mode. About 20 hours after the shot I could feel the fog clearing and that I was back to normal. What Im feeling today I dont know if there could be a connection or not with the shot. I did have a recent dental checkup on Jan. 12, however, since Thursday evening I have swelling along my jawline and along one side of my face. · Healthcare visit (other): Advice from pharmacy on how often I could take a certain Med until I can see a dentist tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
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)
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-17
-
2021-03-19
Call successfulDoes not wish to fill out VAERS report
- 2021-03-24
- 2021-05-12
- 2021-08-13
-
2021-11-18
Dose 3 — Moderna
- 2022-02-10
-
2022-04-22
Dose 4 — Moderna
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-28
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-07-22
- 2022-10-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | Successful 2021-03-19 |
Does not wish to fill out VAERS report |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): On Thursday the day following my shot I felt very foggy and seem as though the mind took time sending messages to other parts of the body, I called it sloth mode. About 20 hours after the shot I could feel the fog clearing and that I was back to normal. What Im feeling today I dont know if there could be a connection or not with the shot. I did have a recent dental checkup on Jan. 12, however, since Thursday evening I have swelling along my jawline and along one side of my face.
Healthcare visit (other): Advice from pharmacy on how often I could take a certain Med until I can see a dentist tomorrow.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release