ZFG-33643-30947
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 467 / IN
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
-
2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Muscle or body achesFree text: Some very mild brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-04-01
- 2021-04-10
- 2021-04-17
-
2021-04-20
Dose 2 — Moderna
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Office visit — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Headache and tiredness likely due to needing allergy shots. · Healthcare visit (other): Got allergy shots at asthma/allergy specialist like normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-07-20
- 2021-10-19
-
2021-11-20
Dose 3 — Moderna
-
2021-11-20
Survey response — day 0, dose 3MedDRA: Abnormal menstrual clots, Heavy menstrual bleeding — Feeling: Good · Site: Pain · HeadacheFree text: Within 3 hours of booster shot, soaked a maxi pad clear through and passed the largest clot I've ever passed. My period started a few days prior and wasn't nearly this heavy, so it seems less likely to be a coincidence.MedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-02
- 2022-02-19
- 2022-04-07
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2022-05-21
Survey response — 6 months, dose 3MedDRA: Cough, Office visit, Oropharyngeal pain — 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: Coughing for 5 out of 6 weeks plus a sore throat back in March-April. Recently started having similar symptoms again. · Healthcare visit (other): Regular allergy/asthma specialistMedDRA releases: 2024-11 · check-in free text available
-
2022-05-21
Report sent to call center — 6 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)
- 2022-05-23
- 2022-05-23
-
2022-05-25
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-20
Survey response — 12 months, dose 3MedDRA: Ageusia, Anosmia, Brain fog, COVID-19, Fatigue, Pain, Pyrexia — Feeling: Good · Be unable to work or attend school, 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: Covid at end of August: loss of taste and smell, body aches, fatigue (lasted 3-4 weeks), fever, brain fog (lasted about 3-4 weeks)MedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Report sent to call center — 12 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 prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-21
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-26 | Unsuccessful | |
| 2022-05-21 | Successful 2022-05-25 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-11-20 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Some very mild brain fog
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache and tiredness likely due to needing allergy shots.
Healthcare visit (other): Got allergy shots at asthma/allergy specialist like normal
Release 10 — day 0, dose 3
Systemic reaction (other): Within 3 hours of booster shot, soaked a maxi pad clear through and passed the largest clot I've ever passed. My period started a few days prior and wasn't nearly this heavy, so it seems less likely to be a coincidence.
Release 11 — 6 months, dose 3
Symptoms: Coughing for 5 out of 6 weeks plus a sore throat back in March-April. Recently started having similar symptoms again.
Healthcare visit (other): Regular allergy/asthma specialist
Release 12 — 12 months, dose 3
Symptoms: Covid at end of August: loss of taste and smell, body aches, fatigue (lasted 3-4 weeks), fever, brain fog (lasted about 3-4 weeks)
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Brain fog | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Abnormal menstrual clots | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heavy menstrual bleeding | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release