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ZKX-13133-64705

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
953 / CA
Registered
2021-05-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-29
    Dose 1 — Moderna
  2. 2021-05-27
    Dose 2 — Moderna
  3. 2021-05-28
    Registered in v-safe
  4. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  6. 2021-06-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: I think the headache may be from the heat today it is 91° F today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-06-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-06-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-24
    Survey response — day 28, dose 2
    MedDRA: Myalgia, Pain — Feeling: Fair
    Free text: Don't know if this is related, but I have experienced body & muscle aches, since getting the shots (hands, feet, legs, knees, hips, back, arms & shoulders). Not impossible to work/get things done, but it slows me down significantly. Maybe oincidence?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-07-02
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Paraesthesia — Feeling: Good
    Free text: Tingling in toes and fingers, still have fatigue. Not sure if coincidence or not?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-07-09
    Survey response — day 42, dose 2
    MedDRA: Paraesthesia — Feeling: Fair
    Free text: Tingling in feet and now hands and overall body stiffness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-08-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-05-27
    Survey response — 12 months, dose 2
    MedDRA: Brain fog, Fatigue, Office visit, Paraesthesia — Feeling: Good · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Brain fog, tingling feet & legs, fatigue etc · Healthcare visit (other): Doctors visit - it gets ignored
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-05-27
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2022-06-01

Vaccinations

DoseDateManufacturerCo-administered
12021-04-29Moderna
22021-05-27Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-05-27 Unsuccessful

Free text

Release 8 — days 1–6 daily, dose 2

2021-06-02

Systemic reaction (other): I think the headache may be from the heat today it is 91° F today

Release 9 — day 28, dose 2

2021-06-24

Symptoms: Don't know if this is related, but I have experienced body & muscle aches, since getting the shots (hands, feet, legs, knees, hips, back, arms & shoulders). Not impossible to work/get things done, but it slows me down significantly. Maybe oincidence? cut off by CDC

Release 9 — day 35, dose 2

2021-07-02

Symptoms: Tingling in toes and fingers, still have fatigue. Not sure if coincidence or not?

Release 9 — day 42, dose 2

2021-07-09

Symptoms: Tingling in feet and now hands and overall body stiffness

Release 11 — 12 months, dose 2

2022-05-27

Symptoms: Brain fog, tingling feet & legs, fatigue etc
Healthcare visit (other): Doctors visit - it gets ignored

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDBrain fog · · ✓
SDFatigue ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release