ZJT-31554-28697
3 vaccinations
5 coded responses
22 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 372 / TN
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-20
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
-
2021-02-03
Survey response — day 14, dose 1MedDRA: Fatigue, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue for one day. It came and went. It kept me from doing things like my work out, and I slept in longer than normal, but it did not keep me from doing mom duties and household duties. I did not need any doctor or other healthcare service.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-21
Dose 2 — Moderna
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Injection site pain, Malaise, Musculoskeletal stiffness, Myalgia — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: The day after my shot I felt terrible: muscle pain and stiffness, headache, chills, fatigue, moderate pain at site. It lasted 24 hours and then was over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-03-02
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-30
- 2021-04-04
- 2021-05-23
-
2021-08-22
Survey response — 6 months, dose 2MedDRA: Chest pain, Fatigue, Headache, Palpitations — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Chest pain, fatigue, headache, palpitationsMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-30
Dose 3 — Moderna
-
2022-02-21
Survey response — 12 months, dose 2MedDRA: Exposure to communicable disease, Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had a cold for 2 weeks. Negative at home covid test. May have been RSV as I was exposed to someone who had it.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Survey response — 12 months, dose 3MedDRA: Pregnancy — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pregnant now 24 weeksMedDRA releases: 2024-11 · check-in free text available
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2022-11-30
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-12-01
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-30 | Successful 2022-12-01 |
Not applicable - Accidental Reporting |
Free text
Release 3 — day 14, dose 1
Symptoms: Fatigue for one day. It came and went. It kept me from doing things like my work out, and I slept in longer than normal, but it did not keep me from doing mom duties and household duties. I did not need any doctor or other healthcare service.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The day after my shot I felt terrible: muscle pain and stiffness, headache, chills, fatigue, moderate pain at site. It lasted 24 hours and then was over.
Release 9 — 6 months, dose 2
Symptoms: Chest pain, fatigue, headache, palpitations
Release 11 — 12 months, dose 2
Symptoms: Had a cold for 2 weeks. Negative at home covid test. May have been RSV as I was exposed to someone who had it.
Release 12 — 12 months, dose 3
Symptoms: Pregnant now 24 weeks
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 | Chest pain | ✓ | · | ✓ |
| SD | Exposure to communicable disease | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Palpitations | ✓ | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release