ZHA-12933-01887
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 545 / WI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
85H-30504-65962
Child or adolescent in my care · Female · 2021-08-10
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, DiarrheaAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, NauseaAdult check-in
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Epistaxis — Feeling: Fair · Site: Redness, Itching · Nausea, Abdominal painFree text: Bloody noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Pain, Pre-existing disease, Swelling — Feeling: Fair · Site: Itching · Fever · Chills, Joint pains · Be unable to do your normal daily activitiesFree text: Swelling and pain in an old injury, a tendon sprain that occurred following an antibiotic known to cause that side effect.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-13
-
2021-04-20
Survey response — day 14, dose 2MedDRA: Migraine, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Migraine, muscle acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 21, dose 2MedDRA: Eye pain, Fatigue, Headache — Feeling: FairFree text: Eye pain. Like an ache or fatigue and dryness in one eye, followed by a bit of a headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-07-06
- 2021-10-05
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2022-04-06
Survey response — 12 months, dose 2MedDRA: Malaise, Medical counselling, Pneumonia — 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 · Outpatient clinic or urgent care clinic visitFree text: Have an infection in my lung that I'm being referred to Pulmonology to review. Have been sick with infections for 4 months. Antibiotics and prednisone have not improved my conditions.MedDRA releases: 2024-11 · check-in free text available
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2022-04-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-06 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Bloody nose
Systemic reaction (other): Swelling and pain in an old injury, a tendon sprain that occurred following an antibiotic known to cause that side effect.
Release 7 — day 14, dose 2
Symptoms: Migraine, muscle ache
Release 8 — day 21, dose 2
Symptoms: Eye pain. Like an ache or fatigue and dryness in one eye, followed by a bit of a headache.
Release 11 — 12 months, dose 2
Symptoms: Have an infection in my lung that I'm being referred to Pulmonology to review. Have been sick with infections for 4 months. Antibiotics and prednisone have not improved my conditions.
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 | Eye pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release