ZJB-16642-92230
1 vaccination
7 coded responses
15 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 850 / AZ
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Registered in v-safe
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2021-03-01
Dose 1 — Moderna
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2021-03-01
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throat mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tirednessAdult check-in
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Night sweats — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Night sweats-mild to moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Abnormal dreams — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: Vivid dreamsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-03-08
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-15
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headache, fatigue, irregular heart beatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
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2021-03-29
Survey response — day 28, dose 1MedDRA: Arthralgia, Headache, Pain, Self-medication — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Bouts of torso body aches-yesterdays was severe. Additional joint aching and continued headaches. Tylenol helps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-12
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2021-05-31
Survey response — 3 months, dose 1MedDRA: Dyspnoea, Limb discomfort, Migraine, Office visit, Pre-existing disease, Tension headache, Tremor, Vertigo — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Migraine/shakiness/shortnes of breath with a tightness around chest/ heavy limbsI had a case of severe Covid in January prior to getting vaccinated in March and 6 weeks later mid April. · Healthcare visit (other): Regular office visits/ lab and diagnostic testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — 3 months, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-30
Survey response — 6 months, dose 1MedDRA: Fatigue, Muscle rigidity, Total lung capacity decreased, Vertigo — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Random vertigo. Fatigue every 5 days or so (although not as profound). Diminished lung capacity Im working on pushing into aerobic activity to try to increase elasticity.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-31
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2021-09-01
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-31 | Successful | Completed over the phone |
| 2021-08-30 | Successful 2021-09-01 |
Completed over the phone |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Sore throat mild
Systemic reaction (other): Night sweats-mild to moderate
Systemic reaction (other): Vivid dreams
Release 5 — day 14, dose 1
Symptoms: Headache, fatigue, irregular heart beat
Release 6 — day 28, dose 1
Symptoms: Bouts of torso body aches-yesterdays was severe. Additional joint aching and continued headaches. Tylenol helps.
Release 8 — 3 months, dose 1
Symptoms: Migraine/shakiness/shortnes of breath with a tightness around chest/ heavy limbsI had a case of severe Covid in January prior to getting vaccinated in March and 6 weeks later mid April.
Healthcare visit (other): Regular office visits/ lab and diagnostic testing
Release 9 — 6 months, dose 1
Symptoms: Random vertigo. Fatigue every 5 days or so (although not as profound). Diminished lung capacity Im working on pushing into aerobic activity to try to increase elasticity.
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate irregular | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Muscle rigidity | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tension headache | ✓ | ✓ | ✓ |
| SD | Total lung capacity decreased | ✓ | · | ✓ |
| SD | Tremor | ✓ | ✓ | ✓ |
| SD | Vertigo | ✓ | ✓ | ✓ |
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release