ZG2-16043-62571
1 vaccination
6 coded responses
9 check-ins
6 free-text entries
2 call cases
- Sex
- Male
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Dose 1 — Moderna
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2021-02-24
Registered in v-safe
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2021-02-24
Survey response — day 7, dose 1MedDRA: Headache — Feeling: Poor · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Had a bad headache in the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
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2021-03-10
Survey response — day 21, dose 1MedDRA: Chronic fatigue syndrome, Condition aggravated, Fatigue, Feeling abnormal, Flushing, Immune system disorder, Pre-existing disease, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I have longtime CFS the vaccine has set off an intense immune response Im at an all time fatigue with some flushing,BP problems and brain fog .no real fever or soar throat or head cold. Its a nightmare .. thank you · Healthcare visit (other): I will see my heart dr tomorrowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-17
Survey response — day 28, dose 1MedDRA: Flushing, Hypertension, Hypoaesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The face flushing,fatigue,high bp continues.Ive never had this condition. My heart dr says my heart is very good.blood work ok . Recently both my feet went numbish,probably from the constant flush an bp.. magnesium helpsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 35, dose 1MedDRA: Flushing, Hypertension, Hypoaesthesia, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: My foot numbness an pain was diagnosed from a EMG to be Axonal Polyneuropathy CIAP.Im not diabetic,alcoholic.it is progressing up my legs. I need answers.I also still have face flush and constant high bp thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 42, dose 1MedDRA: Asthenia, Flushing, Neuropathy peripheral — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The neuropathy is n the arms also now .. the overwhelming lack of endurance, face flushing continues.pretty much the same since February 19 ..something I cant control .also my BP which my I do have is on a repeat cycle ..which is not normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-20
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2021-08-18
Survey response — 6 months, dose 1MedDRA: Aura, Migraine, Mobility decreased, Neuropathy peripheral, Pre-existing disease, Vision blurred, Visual impairment — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visitFree text: The neuropathy has moved further up my legs.migraines are new ..I had a aurora visual n my right eye ..blurry with odd colors.Im still house bound.all the other conditions still remain . no dr cares because the vacinne is perfectly safe,pleaseMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-18
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
- 2022-02-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-10 | Unsuccessful | |
| 2021-08-18 | Unsuccessful |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Had a bad headache in the night
Release 5 — day 21, dose 1
Symptoms: I have longtime CFS the vaccine has set off an intense immune response Im at an all time fatigue with some flushing,BP problems and brain fog .no real fever or soar throat or head cold. Its a nightmare .. thank you
Healthcare visit (other): I will see my heart dr tomorrow
Release 5 — day 28, dose 1
Symptoms: The face flushing,fatigue,high bp continues.Ive never had this condition. My heart dr says my heart is very good.blood work ok . Recently both my feet went numbish,probably from the constant flush an bp.. magnesium helps
Release 6 — day 35, dose 1
Symptoms: My foot numbness an pain was diagnosed from a EMG to be Axonal Polyneuropathy CIAP.Im not diabetic,alcoholic.it is progressing up my legs. I need answers.I also still have face flush and constant high bp thank you
Release 6 — day 42, dose 1
Symptoms: The neuropathy is n the arms also now .. the overwhelming lack of endurance, face flushing continues.pretty much the same since February 19 ..something I cant control .also my BP which my I do have is on a repeat cycle ..which is not normal for me
Release 9 — 6 months, dose 1
Symptoms: The neuropathy has moved further up my legs.migraines are new ..I had a aurora visual n my right eye ..blurry with odd colors.Im still house bound.all the other conditions still remain . no dr cares because the vacinne is perfectly safe,please
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Aura | ✓ | · | ✓ |
| SD | Chronic fatigue syndrome | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Immune system disorder | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Mobility decreased | ✓ | · | ✓ |
| SD | Neuropathy peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | · | ✓ |
| SD | Visual impairment | ✓ | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release