ZKY-10575-77955
3 vaccinations
8 coded responses
12 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 222 / VA
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-12
Dose 1 — Moderna
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2021-02-09
Dose 2 — Moderna
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2021-02-10
Registered in v-safe
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, 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: Dizzy spellsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Report sent to call center — days 1–6 daily, dose 2Be 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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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to workFree text: Dizzy spellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Just little bit dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: FairFree text: Just feeling foggy and little bit dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: FairFree text: Still feeling dizzy once awhile during dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 7, dose 2MedDRA: Feeling abnormal — Feeling: FairFree text: Feeling foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-07-18
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: FairFree text: Headache sharpMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-31
Dose 3 — Moderna
- 2022-02-09
- 2022-02-09
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2022-02-11
Survey response — day 42, dose 3MedDRA: Axillary mass, Axillary pain, Pain in extremity, Peripheral swelling — Feeling: PoorFree text: Ok I just want to report you that after booster I got baseball lump under my arm pit which was so painful and take 9one week to go away Also I got Tdap vaccines after one month and this time I got big baseball bump on my arm which painfull don 10MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-31 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-10 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy spells
Systemic reaction (other): Dizzy spell
Systemic reaction (other): Just little bit dizzy
Systemic reaction (other): Just feeling foggy and little bit dizzy
Systemic reaction (other): Still feeling dizzy once awhile during day
Release 4 — day 7, dose 2
Systemic reaction (other): Feeling foggy
Release 9 — 6 months, dose 2
Symptoms: Headache sharp
Release 11 — day 42, dose 3
Symptoms: Ok I just want to report you that after booster I got baseball lump under my arm pit which was so painful and take 9one week to go away Also I got Tdap vaccines after one month and this time I got big baseball bump on my arm which painfull don 10 cut off by CDC
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 | Axillary mass | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release