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ZFE-94102-26367

1 vaccination 5 coded responses 11 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
36-40
ZIP prefix
074 / NJ
Registered
2021-09-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-30
    Registered in v-safe
  2. 2021-09-30
    Dose 1 — Moderna
  3. 2021-09-30
    Survey response — day 0, dose 1
    MedDRA: Mobility decreased — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Unable to lift my arm
    MedDRA releases: 2024-11 · check-in free text available
  4. 2021-10-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-10-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-10-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Nausea, Vomiting, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  8. 2021-10-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-10-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Vomiting, Diarrhea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-10-14
    Survey response — day 14, dose 1
    MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Still dealing with stomach issues that I never had before. When will this end? I am so terrified of getting my second dose.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-21
    Survey response — day 21, dose 1
    MedDRA: Back disorder, Gastrointestinal disorder, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Back stomach problems, constant pain & going to the bathroom
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-02
    Survey response — 6 months, dose 1
    MedDRA: Cardiac disorder, Office visit, Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Symptoms: I started having heart palpitations. · Healthcare visit (other): I had to see two different doctors for my heart issues that randomly started a few months after the vaccine. I've never had issues like this before.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-04-02
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  14. 2022-04-05
  15. 2022-09-30
    Survey response — 12 months, dose 1
    MedDRA: Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Heart palpitations that started shortly after vaccine are getting worse
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-09-30Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-02 Unsuccessful

Free text

Release 9 — day 0, dose 1

2021-09-30

Systemic reaction (other): Unable to lift my arm

Release 10 — day 14, dose 1

2021-10-14

Symptoms: Still dealing with stomach issues that I never had before. When will this end? I am so terrified of getting my second dose.

Release 10 — day 21, dose 1

2021-10-21

Symptoms: Back stomach problems, constant pain & going to the bathroom

Release 11 — 6 months, dose 1

2022-04-02

Symptoms: I started having heart palpitations.
Healthcare visit (other): I had to see two different doctors for my heart issues that randomly started a few months after the vaccine. I've never had issues like this before.

Release 12 — 12 months, dose 1

2022-09-30

Symptoms: Heart palpitations that started shortly after vaccine are getting worse

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

FieldPreferred term2021-092023-042024-11
HCVOCardiac disorder · · ✓
HCVOOffice visit · · ✓
SDBack disorder · · ✓
SDGastrointestinal disorder · · ✓
SDPain · · ✓
SDPalpitations · · ✓
SROMobility decreased · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release