ZKL-30095-67186
3 vaccinations
9 coded responses
39 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 840 / UT
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
SAG-22202-22821
Child or adolescent in my care · Male · 2021-11-16
Q2W-73221-33524
Child or adolescent in my care · Female · 2021-11-16
Timeline
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2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-19
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2021-01-26
Survey response — day 14, dose 1MedDRA: Eyelid pain, Fatigue, Induration, Injection site induration, Injection site swelling, Joint swelling, Lymph node pain, Lymphadenopathy, Office visit, Swelling of eyelid — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: 1.5 inch diameter hard lymph node on neck. It was painful for 2 days, it's taken 6 days to shrink down to normal size. Swollen eye lid moderate pain for 3 days. Injection site swollen & hard & swollen knuckles ab 6 hours on day 8. Fatigue 2-3 days · Healthcare visit (other): Optometry apt to look at swollen eye lidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-02
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2021-02-09
Dose 2 — Moderna
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2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-12
- 2021-02-14
- 2021-02-15
- 2021-02-16
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2021-02-23
Survey response — day 14, dose 2MedDRA: Fatigue, Headache, Joint swelling — Feeling: FairFree text: Swollen joints, headache, tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 2MedDRA: Arthralgia, Back pain, Fatigue, Joint swelling, Pain in extremity — Feeling: GoodFree text: Swollen and painful joints throughout body, achy legs and back, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 28, dose 2MedDRA: Arthralgia, Fatigue, Muscle spasms, Myalgia, Nausea, Swelling — Feeling: FairFree text: Swollen & achy joints (hands, feet, spine) and random muscle cramping & pain. Exhaustion and random nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 35, dose 2MedDRA: Fatigue, Hypoaesthesia, Injection site pain, Joint swelling — Feeling: GoodFree text: Random appearing Injection site pain along with numbing down that arm and swollen finger joints. Pain lasted 12 hours, numbing on and off. Fatigue that same day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-04-09
- 2021-05-11
- 2021-08-10
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2021-11-18
Dose 3 — Pfizer-BioNTech
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2021-11-18
Health check-in — day 0, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-19
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · HeadacheFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-18
- 2021-12-23
- 2021-12-30
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2022-02-17
Survey response — 3 months, dose 3MedDRA: Fatigue, Headache, Hypoaesthesia, Muscular weakness, Paraesthesia — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tingling nerves/numbness, muscle weakness, headache, & fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
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2022-11-20
Survey response — 12 months, dose 3MedDRA: Gingival graft, Gingival recession — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Gum recession needing 4 gum graftsMedDRA releases: 2024-11 · check-in free text available
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2022-11-20
Report sent to call center — 12 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-21
- 2022-11-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-18 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-26 | Unsuccessful | |
| 2022-11-20 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Swollen lymph node
Release 2 — day 14, dose 1
Symptoms: 1.5 inch diameter hard lymph node on neck. It was painful for 2 days, it's taken 6 days to shrink down to normal size. Swollen eye lid moderate pain for 3 days. Injection site swollen & hard & swollen knuckles ab 6 hours on day 8. Fatigue 2-3 days cut off by CDC
Healthcare visit (other): Optometry apt to look at swollen eye lid
Release 4 — day 14, dose 2
Symptoms: Swollen joints, headache, tiredness
Release 4 — day 21, dose 2
Symptoms: Swollen and painful joints throughout body, achy legs and back, fatigue
Release 5 — day 28, dose 2
Symptoms: Swollen & achy joints (hands, feet, spine) and random muscle cramping & pain. Exhaustion and random nausea.
Release 5 — day 35, dose 2
Symptoms: Random appearing Injection site pain along with numbing down that arm and swollen finger joints. Pain lasted 12 hours, numbing on and off. Fatigue that same day.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph node
Release 11 — 3 months, dose 3
Symptoms: Tingling nerves/numbness, muscle weakness, headache, & fatigue
Release 12 — 12 months, dose 3
Symptoms: Gum recession needing 4 gum grafts
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 | Optometric therapy | ○ | ○ | ○ |
| HCVO | Swelling of eyelid | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Eyelid pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gingival graft | · | · | ✓ |
| SD | Gingival recession | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Induration | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Joint swelling | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Swelling of eyelid | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release