ZFC-17295-56730
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 805 / CO
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
-
2021-02-25
Survey response — day 0, dose 1MedDRA: Discomfort — Feeling: GoodFree text: Slight discomfort when move arm, very minorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-02-27
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm hurts lower than injection site over humerusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Remnent of soreness in arm distal to injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
-
2021-03-25
Dose 2 — Moderna
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-04-01
Survey response — day 7, dose 2MedDRA: Self-medication — Feeling: Good · Site: Pain, Redness, ItchingFree text: Used benadryl and tylenol prnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
-
2021-04-15
Survey response — day 21, dose 2MedDRA: Burning sensation, Dizziness, Hypoaesthesia — Feeling: FairFree text: Dizzy in am x3, arm numb in the middle of night with intense burning. Had been laying on the opposite arm so not like asleep from pressure.Not sure if related. lt very intense for 10 or 15 minutes. Subsided with massage and moving. Did not recur.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — day 28, dose 2MedDRA: Dizziness — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-29
- 2021-05-08
- 2021-06-24
- 2021-09-23
- 2022-02-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-22 | Unsuccessful |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slight discomfort when move arm, very minor
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm hurts lower than injection site over humerus
Systemic reaction (other): Remnent of soreness in arm distal to injection site
Release 6 — day 7, dose 2
Systemic reaction (other): Used benadryl and tylenol prn
Release 7 — day 21, dose 2
Symptoms: Dizzy in am x3, arm numb in the middle of night with intense burning. Had been laying on the opposite arm so not like asleep from pressure.Not sure if related. lt very intense for 10 or 15 minutes. Subsided with massage and moving. Did not recur.
Release 7 — day 28, dose 2
Symptoms: Dizziness
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release