ZHY-26157-43944
4 vaccinations
8 coded responses
36 check-ins
8 free-text entries
5 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 852 / AZ
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
-
2021-02-12
Dose 1 — Moderna
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
-
2021-03-05
Survey response — day 21, dose 1MedDRA: Dizziness — Feeling: FairFree text: Kind of dizzy sometimes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Dose 2 — Moderna
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very sleepy. Slept in middle of day for 3 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Survey response — day 35, dose 2MedDRA: Dizziness, Headache — Feeling: FairFree text: A slight headache that has been ongoing. I also feel slightly dizzy on an ongoing basis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
- 2021-06-11
- 2021-09-10
-
2021-09-23
Dose 3 — Moderna
- 2021-10-26
-
2021-10-28
Survey response — day 35, dose 3MedDRA: Arthralgia — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have left rotator cuff ongoing pain which is pretty painful today.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Report sent to call center — day 35, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-29
- 2021-11-03
- 2021-11-04
- 2021-12-23
-
2022-04-25
Dose 4 — Moderna
-
2022-05-14
Survey response — day 14, dose 4MedDRA: Ear discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My ears feel plugged as if I am in an airplane. I have been under doctor care for this health issue for about a month now. My ears still feel plugged. · Healthcare visit (other): Visit to my family doctor who sent me to sn ear, throat, nose specialist.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-14
Report sent to call center — day 14, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-16
- 2022-05-16
- 2022-05-16
-
2022-05-16
Call successfulReported to VAERS during previous contact from GDIT
-
2022-05-23
Survey response — day 28, dose 4MedDRA: Ear discomfort, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Ears are constantly plugged and feel as if rising an airplane. · Healthcare visit (other): Visit with primary doctor who sent me to an ear, throat and nose doctor.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-25
-
2022-05-31
Callback requested for04:30PM ET
-
2022-05-31
Call successfulReported to VAERS voluntarily prior to GDIT contact
- 2022-06-01
- 2022-06-08
-
2022-07-25
Survey response — 3 months, dose 4MedDRA: Fall, Limb injury, Office visit — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fell and hurt my right shoulder. · Healthcare visit (other): Visited my family doctor who sent me for X-rays. I am presently in therapy.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-25
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-26
- 2022-07-26
- 2022-07-26
- 2022-07-26
-
2022-07-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-07-26
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-10-26
Survey response — 6 months, dose 4MedDRA: Arthralgia, Limb injury — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I hurt my right shoulder and had therapy for it. It is still paining me somewhat.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-10-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-09-23 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-28 | Successful 2022-07-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-14 | Successful 2022-05-16 |
Reported to VAERS during previous contact from GDIT |
| 2022-05-23 | Successful 2022-05-31 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2022-07-25 | Successful 2022-07-26 |
Reported to VAERS voluntarily prior to GDIT contact |
| 2022-10-26 | Unsuccessful | Reported to VAERS during previous contact from GDIT |
Free text
Release 5 — day 21, dose 1
Symptoms: Kind of dizzy sometimes.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very sleepy. Slept in middle of day for 3 hours
Release 7 — day 35, dose 2
Symptoms: A slight headache that has been ongoing. I also feel slightly dizzy on an ongoing basis.
Release 10 — day 35, dose 3
Symptoms: I have left rotator cuff ongoing pain which is pretty painful today.
Release 11 — day 14, dose 4
Symptoms: My ears feel plugged as if I am in an airplane. I have been under doctor care for this health issue for about a month now. My ears still feel plugged.
Healthcare visit (other): Visit to my family doctor who sent me to sn ear, throat, nose specialist.
Release 11 — day 28, dose 4
Symptoms: Ears are constantly plugged and feel as if rising an airplane.
Healthcare visit (other): Visit with primary doctor who sent me to an ear, throat and nose doctor.
Release 12 — 3 months, dose 4
Symptoms: Fell and hurt my right shoulder.
Healthcare visit (other): Visited my family doctor who sent me for X-rays. I am presently in therapy.
Release 12 — 6 months, dose 4
Symptoms: I hurt my right shoulder and had therapy for it. It is still paining me somewhat.
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 | Arthralgia | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fall | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Limb injury | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release