ZGG-15513-06177
1 vaccination
5 coded responses
11 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 209 / MD
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Pain in extremity — Feeling: FairFree text: my arm is sore, low energy to do anythingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling · FeverFree text: Sore on my arm & i feel a little chill, cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold, Nasopharyngitis, Pruritus — Feeling: Fair · Site: ItchingFree text: Cold/ chilly. Arm would itch when it will be expose to cold temperature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — day 7, dose 1MedDRA: Epistaxis, Rhinorrhoea — Feeling: Poor · Site: Itching · Fever · Chills, Headache · Be unable to work, Be unable to do your normal daily activitiesFree text: Funny nose, nose bleeding twice.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Report sent to call center — day 7, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Asthenia, Epistaxis, Headache, Nasopharyngitis, Pruritus — Feeling: Fair · Be unable to workFree text: Headaches, arm itches with expose to cold. I got a cold last week. I was getting chills during the day. Woke up with runny nose. I got nose bleed for 2 days..... Was not able to work for 1 day. My body felt weak. Got tested both times negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-04-11
- 2022-01-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-15 | priority 2/3 |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): my arm is sore, low energy to do anything
Systemic reaction (other): Sore on my arm & i feel a little chill, cold.
Systemic reaction (other): Cold/ chilly. Arm would itch when it will be expose to cold temperature.
Release 2 — day 7, dose 1
Systemic reaction (other): Funny nose, nose bleeding twice.
Release 2 — day 14, dose 1
Symptoms: Headaches, arm itches with expose to cold. I got a cold last week. I was getting chills during the day. Woke up with runny nose. I got nose bleed for 2 days..... Was not able to work for 1 day. My body felt weak. Got tested both times negative.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release