ZGY-21172-08077
4 vaccinations
7 coded responses
48 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 786 / TX
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-23
Registered in v-safe
-
2021-03-23
Dose 1 — Moderna
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2021-03-23
Survey response — day 0, dose 1MedDRA: Feeling hot, Immediate post-injection reaction — Feeling: GoodFree text: I felt a warmth in my chest area about 7 mins after shot, and then a bit of adrenaline rush. But it past after a few minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Diarrhoea, Malaise — Feeling: Fair · DiarrheaFree text: I've not felt good since Saturday, Diarrhea and bowel issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-04-20
Dose 2 — Moderna
- 2021-04-20
-
2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to workAdult check-in
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Fair · Site: Pain · DiarrheaFree text: Hearth palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-04-25
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: FairFree text: Still having some heart palpitationsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-01
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2021-07-20
Survey response — 3 months, dose 2MedDRA: Gastrointestinal disorder — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Gastro or right abdominal issues. Not sure, waiting for a doctor appt.MedDRA releases: 2024-11 · check-in free text available
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2021-07-20
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-28
- 2021-10-21
-
2021-11-22
Dose 3 — Moderna
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness · DiarrheaAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
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2021-12-13
Survey response — day 21, dose 3MedDRA: Alopecia, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Hair loss not sure if it's related but I'm losing my hair!!! · Healthcare visit (other): Doctor visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-14
-
2021-12-22
Survey response — day 28, dose 3MedDRA: Bladder disorder, Diverticulum, Gastrointestinal disorder, Ovarian disorder — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Some abdominal issues, either bladder, diverticulosis or ovarian. Going for ultrasound next week, will know more. Symptoms just popped up.MedDRA releases: 2024-11 · check-in free text available
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2021-12-22
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-12-23
- 2021-12-29
- 2022-01-03
- 2022-02-21
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2022-11-09
Dose 4 — Moderna
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2022-11-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-11-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-09
- 2022-12-23
- 2023-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-11-09 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-20 | Unsuccessful | |
| 2021-12-13 | Unsuccessful | |
| 2021-12-22 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I felt a warmth in my chest area about 7 mins after shot, and then a bit of adrenaline rush. But it past after a few minutes.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I've not felt good since Saturday, Diarrhea and bowel issues.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Hearth palpitations
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Still having some heart palpitations
Release 9 — 3 months, dose 2
Symptoms: Gastro or right abdominal issues. Not sure, waiting for a doctor appt.
Release 10 — day 21, dose 3
Symptoms: Hair loss not sure if it's related but I'm losing my hair!!!
Healthcare visit (other): Doctor visit
Release 10 — day 28, dose 3
Symptoms: Some abdominal issues, either bladder, diverticulosis or ovarian. Going for ultrasound next week, will know more. Symptoms just popped up.
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 | Alopecia | · | · | ✓ |
| SD | Bladder disorder | · | · | ✓ |
| SD | Diverticulum | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Ovarian disorder | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release