ZJ6-31413-56072
5 vaccinations
22 coded responses
58 check-ins
22 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 456 / OH
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
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2021-02-18
Dose 2 — Moderna
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2021-02-18
Survey response — day 0, dose 2MedDRA: Back pain, Pre-existing disease — Feeling: Fair · Muscle or body achesFree text: I ache because of removing thick ice from my car and because I have a bad back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I did not take a tylenol for over 24 hrs before my 2nd shot and waited for 24 hours after the shot to take a tylenol for my aching muscles. Muscles ache because of my attempts to remove ice from my car so I could drive to get my shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Fatigue or tiredness may be from vaccine, but I think muscle aches are from my removing ice from my car Wednesday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Hypersomnia, Myalgia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I sleep well at night but still need a nap or two every day. Muscle aches from ice removal are better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tirednessFree text: I think the muscle aches are from shoveling ice again and carrying in groceries and putting them away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Joint pains, Fatigue or tirednessFree text: My back hurts when I am standing, but it has nothing to do with the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — day 7, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-05-20
Survey response — 3 months, dose 2MedDRA: Arthralgia, Pre-existing disease, Skin disorder — Feeling: GoodFree text: My hips ache a lot, but it is probably because of my age and arthritis. I also had some scalp problems which may have been caused by my shampoo. My scalp seems to be improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-19
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2021-11-16
Dose 3 — Moderna
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-23
Health check-in — day 7, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-30
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2021-12-07
Survey response — day 21, dose 3MedDRA: Breast cancer, Joint swelling, Office visit, Peripheral swelling — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Breast cancer again and swelling in left arm from inside elbow to wrist. · Healthcare visit (other): Biopsies and in office visitsMedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Report sent to call center — day 21, dose 3Get care from a doctor or other healthcare professional1 call case(s)
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2021-12-10
Call successfulCompleted over the phone
- 2021-12-14
- 2021-12-21
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2021-12-28
Survey response — day 42, dose 3MedDRA: Erythema, Myalgia, Pain in extremity, Peripheral swelling — Feeling: GoodFree text: My left arm has been hurting in my biceps area and also above that on the back of my arm. It could be my age or arthritis. I got my booster in that arm up high. I still have redness and swelling on the inside of my arm between my elbow & wristMedDRA releases: 2024-11 · check-in free text available
- 2022-02-15
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2022-05-11
Dose 4 — Moderna
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2022-05-17
Survey response — 6 months, dose 3MedDRA: Breast conserving surgery, Hernia, Hypoaesthesia, Intestinal obstruction, Joint swelling, Lymphadenectomy, Peripheral swelling, Surgery — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Had bowel blockage and hernia followed by surgery. Had lumpectomy in January with 14 lymph nodes removed. Now have swollen areas on wrist and palm. Pinkie numb on left hand. · Healthcare visit (other): 2 surgeriesMedDRA releases: 2024-11 · check-in free text available
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2022-05-17
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-05-18
Call successfulCompleted over the phone
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2022-05-19
Survey response — day 7, dose 4MedDRA: Hypoaesthesia, Joint swelling, Peripheral swelling — Feeling: Good · Site: Redness · Fatigue or tirednessFree text: Swelling on left wrist, pinkie, and palm of left hand below pinkie. Numbness in same areas.MedDRA releases: 2024-11 · check-in free text available
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2022-05-26
Survey response — day 14, dose 4MedDRA: Hypoaesthesia, Joint swelling — Feeling: GoodFree text: Pinkie on left hand and palm below it is numb, and I have a bump on the left side of that hand where my hand joins my wrist. It is also numb there.MedDRA releases: 2024-11 · check-in free text available
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2022-06-01
Survey response — day 21, dose 4MedDRA: Arthralgia, Hypoaesthesia, Tenderness — Feeling: FairFree text: My hips ache every day. And the pinkie on my left hand is numb but sensitive, especially when I raise my arm up.MedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 28, dose 4MedDRA: Hypoaesthesia — Feeling: GoodFree text: I am not sure it is worse, but I really notice the numbness in the pinkie on my left hand when I raise that arm while doing limbering up exercises every morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-15
- 2022-06-22
- 2022-08-10
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2022-09-15
Dose 5 — Moderna
- 2022-09-15
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2022-09-16
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-17
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: I slept extremely well last night.MedDRA releases: 2024-11 · check-in free text available
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2022-09-18
Survey response — days 1–6 daily, dose 5MedDRA: Insomnia — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Didn't get enough sleep last night but don't think it was related to the booster.MedDRA releases: 2024-11 · check-in free text available
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2022-09-19
Survey response — days 1–6 daily, dose 5MedDRA: Immediate post-injection reaction, Injection site haemorrhage, Injection site pain — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: When I removed the bandaid from my arm, I saw a spot of blood on it. This is the first time that one of the shots hurt enough for me to say so. Perhaps the needle was larger. It didn't hurt long, though.MedDRA releases: 2024-11 · check-in free text available
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2022-09-20
Survey response — days 1–6 daily, dose 5MedDRA: Abdominal pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: My abdominal pain was around midnight last night and is okay now.MedDRA releases: 2024-11 · check-in free text available
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2022-09-21
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-22
Health check-in — day 7, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-29
Survey response — day 14, dose 5MedDRA: Joint stiffness — Feeling: GoodFree text: Knees and hips are stiff, but it might be due to the weather and not the vaccination.MedDRA releases: 2024-11 · check-in free text available
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2022-10-06
Survey response — day 21, dose 5MedDRA: Myalgia — Feeling: FairFree text: Aching thigh muscles probably caused by yard work yesterday.MedDRA releases: 2024-11 · check-in free text available
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2022-10-13
Survey response — day 28, dose 5MedDRA: Fatigue, Pain — Feeling: FairFree text: More achy than usual and very tired perhaps due to yard work and news from January 6.MedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — day 35, dose 5MedDRA: Fatigue, Somnolence — Feeling: GoodFree text: Very tired, need a nap every day.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-07 | Successful 2021-12-10 |
Completed over the phone |
| 2022-05-17 | Successful 2022-05-18 |
Completed over the phone |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): I ache because of removing thick ice from my car and because I have a bad back.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I did not take a tylenol for over 24 hrs before my 2nd shot and waited for 24 hours after the shot to take a tylenol for my aching muscles. Muscles ache because of my attempts to remove ice from my car so I could drive to get my shot.
Systemic reaction (other): Fatigue or tiredness may be from vaccine, but I think muscle aches are from my removing ice from my car Wednesday morning.
Systemic reaction (other): I sleep well at night but still need a nap or two every day. Muscle aches from ice removal are better today.
Systemic reaction (other): I think the muscle aches are from shoveling ice again and carrying in groceries and putting them away.
Systemic reaction (other): My back hurts when I am standing, but it has nothing to do with the vaccination.
Release 8 — 3 months, dose 2
Symptoms: My hips ache a lot, but it is probably because of my age and arthritis. I also had some scalp problems which may have been caused by my shampoo. My scalp seems to be improving.
Release 10 — day 21, dose 3
Symptoms: Breast cancer again and swelling in left arm from inside elbow to wrist.
Healthcare visit (other): Biopsies and in office visits
Release 10 — day 42, dose 3
Symptoms: My left arm has been hurting in my biceps area and also above that on the back of my arm. It could be my age or arthritis. I got my booster in that arm up high. I still have redness and swelling on the inside of my arm between my elbow & wrist
Release 11 — 6 months, dose 3
Symptoms: Had bowel blockage and hernia followed by surgery. Had lumpectomy in January with 14 lymph nodes removed. Now have swollen areas on wrist and palm. Pinkie numb on left hand.
Healthcare visit (other): 2 surgeries
Release 11 — day 7, dose 4
Systemic reaction (other): Swelling on left wrist, pinkie, and palm of left hand below pinkie. Numbness in same areas.
Release 11 — day 14, dose 4
Symptoms: Pinkie on left hand and palm below it is numb, and I have a bump on the left side of that hand where my hand joins my wrist. It is also numb there.
Release 11 — day 21, dose 4
Symptoms: My hips ache every day. And the pinkie on my left hand is numb but sensitive, especially when I raise my arm up.
Release 11 — day 28, dose 4
Symptoms: I am not sure it is worse, but I really notice the numbness in the pinkie on my left hand when I raise that arm while doing limbering up exercises every morning.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I slept extremely well last night.
Systemic reaction (other): Didn't get enough sleep last night but don't think it was related to the booster.
Systemic reaction (other): When I removed the bandaid from my arm, I saw a spot of blood on it. This is the first time that one of the shots hurt enough for me to say so. Perhaps the needle was larger. It didn't hurt long, though.
Systemic reaction (other): My abdominal pain was around midnight last night and is okay now.
Release 12 — day 14, dose 5
Symptoms: Knees and hips are stiff, but it might be due to the weather and not the vaccination.
Release 12 — day 21, dose 5
Symptoms: Aching thigh muscles probably caused by yard work yesterday.
Release 12 — day 28, dose 5
Symptoms: More achy than usual and very tired perhaps due to yard work and news from January 6.
Release 12 — day 35, dose 5
Symptoms: Very tired, need a nap every day.
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 | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Breast cancer | · | · | ✓ |
| SD | Breast conserving surgery | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hernia | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Intestinal obstruction | · | · | ✓ |
| SD | Joint stiffness | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Lymphadenectomy | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Skin disorder | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Surgery | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Abdominal pain | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Injection site haemorrhage | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release