ZJY-30762-29478
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 975 / OR
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-17
Registered in v-safe
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Blood pressure decreased, Dizziness, Paranasal sinus discomfort — Feeling: Fair · Headache, Fatigue or tirednessFree text: Lower blood pressure and Lightheadednessdness and sinus pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
-
2021-01-27
Survey response — day 14, dose 1MedDRA: Dizziness — Feeling: GoodFree text: Some dizziness and also light headed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
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2021-02-24
Survey response — day 14, dose 2MedDRA: Headache, Neck pain — Feeling: FairFree text: Pressure feeling headavhe. Some neck pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-13
- 2021-03-19
- 2021-03-26
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2021-05-17
Survey response — 3 months, dose 2MedDRA: Pain in extremity, Peripheral swelling — Feeling: FairFree text: Pain and swelling in feet, may be due to shoes being to tight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-15
Survey response — 6 months, dose 2MedDRA: Antinuclear antibody positive, Inflammation, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been experiencing inflammation since my vaccines. Saw my provider last month and had a + ANA blood test. We are doing some more testing to rule out things like food allergies.I am not sure if due to vaccine or inflam or it made it worse. · Healthcare visit (other): In person normal visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-15
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-23
-
2021-10-25
Call successfulParticipant prefers to complete VAERS report online
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Inflammation, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Inflammation on left foot. · Healthcare visit (other): In person ,x-ray MriMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-15 | Successful 2021-10-25 |
Participant prefers to complete VAERS report online |
| 2022-02-12 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Lower blood pressure and Lightheadednessdness and sinus pressure
Release 2 — day 14, dose 1
Symptoms: Some dizziness and also light headed.
Release 4 — day 14, dose 2
Symptoms: Pressure feeling headavhe. Some neck pain.
Release 8 — 3 months, dose 2
Symptoms: Pain and swelling in feet, may be due to shoes being to tight.
Release 9 — 6 months, dose 2
Symptoms: I have been experiencing inflammation since my vaccines. Saw my provider last month and had a + ANA blood test. We are doing some more testing to rule out things like food allergies.I am not sure if due to vaccine or inflam or it made it worse.
Healthcare visit (other): In person normal visit
Release 11 — 12 months, dose 2
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 | Unevaluable event | · | · | ✓ |
| SD | Antinuclear antibody positive | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Blood pressure decreased | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release