ZFC-28450-37920
4 vaccinations
12 coded responses
47 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
- 2021-02-06
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: The redness is a spot at the injection site @ 1/4 diameterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Arthralgia, Injection site pain, Injection site swelling — Feeling: GoodFree text: On 2/15/21, 10 days after the vaccine my right bicep, where I received the vaccine swelled, was and tender, and my joint aches. By this1/19/21, most is resolving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Redness, Swelling · ChillsAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Poor balance slightly dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Canalith repositioning procedure, Reaction to previous exposure to any vaccine, Unevaluable event — Feeling: Good · Muscle or body achesFree text: Poor balance. Same thing, about same time after my first shot. I did not report it because I thought it was related to ear crystals. The Epmy I experienced the same after first shot. Eply maneuver did not provide relief this time or last.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
-
2021-03-12
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: Good · ChillsFree text: Slight dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Survey response — day 21, dose 2MedDRA: Lymphadenopathy, Pre-existing disease — Feeling: GoodFree text: I am a 5 yr breast cancer survivor with normal MRi! Mammo f/u 2020. I felt a small mode where sentinel node was removed at lumpectomy. It was gone in 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-09
Survey response — day 35, dose 2MedDRA: Erythema, Inflammation, Injection site inflammation, Peripheral swelling, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Is related but 2 weeks after my first vaccination had extensive inflammation at the site. @ 3 weeks ago After a small cut on my thumb the thumb and cuticle became inflamed and swollen. I took antibiotics, slight redness remains, a rxn? · Healthcare visit (other): AntibiotiscMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Throat irritation — Feeling: GoodFree text: Sore scratchy throat for @ 1 week after eating in a restaurant outside on what became a busy corner ( between 9/15 and @ 25). Normal temp & pulse oxMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-29
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body achesFree text: Note my temp is usuall@97FMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-27
- 2021-12-03
- 2021-12-10
- 2022-01-28
-
2022-02-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-11
Dose 4 — Moderna
-
2022-04-19
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: Good · Site: Pain, Redness, SwellingFree text: NoneMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Survey response — day 14, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Joint pain in hands and hips, this past week. Not sure this is vaccine relatedMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-07-11
- 2022-10-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-09 | Successful 2022-02-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): The redness is a spot at the injection site @ 1/4 diameter
Release 4 — day 14, dose 1
Symptoms: On 2/15/21, 10 days after the vaccine my right bicep, where I received the vaccine swelled, was and tender, and my joint aches. By this1/19/21, most is resolving.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): None
Systemic reaction (other): Poor balance slightly dizzy
Systemic reaction (other): Poor balance. Same thing, about same time after my first shot. I did not report it because I thought it was related to ear crystals. The Epmy I experienced the same after first shot. Eply maneuver did not provide relief this time or last.
Release 5 — day 7, dose 2
Systemic reaction (other): Slight dizziness
Release 6 — day 21, dose 2
Symptoms: I am a 5 yr breast cancer survivor with normal MRi! Mammo f/u 2020. I felt a small mode where sentinel node was removed at lumpectomy. It was gone in 24 hours.
Release 7 — day 35, dose 2
Symptoms: Is related but 2 weeks after my first vaccination had extensive inflammation at the site. @ 3 weeks ago After a small cut on my thumb the thumb and cuticle became inflamed and swollen. I took antibiotics, slight redness remains, a rxn?
Healthcare visit (other): Antibiotisc
Release 9 — 6 months, dose 2
Symptoms: Sore scratchy throat for @ 1 week after eating in a restaurant outside on what became a busy corner ( between 9/15 and @ 25). Normal temp & pulse ox
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Note my temp is usuall@97F
Release 11 — day 7, dose 4
Systemic reaction (other): None
Release 11 — day 14, dose 4
Symptoms: Joint pain in hands and hips, this past week. Not sure this is vaccine related
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | ✓ | ✓ |
| SD | Injection site inflammation | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Canalith repositioning procedure | ✓ | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Ear disorder | ○ | · | ○ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | · | ✓ |
| SRO | Unevaluable event | ○ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release