ZL2-19017-70144
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 553 / MN
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
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2021-03-24
Health check-in — day 0, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-27
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-31
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2021-04-07
Survey response — day 14, dose 1MedDRA: Headache, Hypersensitivity, Myalgia — Feeling: PoorFree text: Allergies, headache, muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-16
Survey response — day 21, dose 1MedDRA: Urticaria — Feeling: GoodFree text: Hives on stomach and chest, big welt on back/shoulder blade, probably unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Moderna
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2021-04-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-28
Health check-in — day 7, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-05-05
Survey response — day 14, dose 2MedDRA: Emergency care, Panic attack — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Panic attacks starting 4/30, ended up in the ER thinking I was having a heart attack, multiple panic attacks since then, no cause that I can think ofMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Report sent to call center — day 14, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-12
- 2021-05-26
- 2021-06-02
- 2021-07-23
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2021-10-22
Survey response — 6 months, dose 2MedDRA: Dyspnoea, Eye pain, Fatigue, Headache, Lacrimation increased, Pain, Panic reaction, Productive cough, Respiratory disorder, Respiratory tract congestion, Rhinorrhoea, Sinus pain, Sneezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Congestion, sinus pain, headaches, body aches, fatigue, runny nose, cough (productive), sneezing, watery/stinging eyes, shortness of breath, not breathing while sleeping and waking up with a panicked feeling (came on within the past week)MedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
- 2022-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-05 | Unsuccessful |
Free text
Release 7 — day 14, dose 1
Symptoms: Allergies, headache, muscle aches
Release 7 — day 21, dose 1
Symptoms: Hives on stomach and chest, big welt on back/shoulder blade, probably unrelated
Release 8 — day 14, dose 2
Symptoms: Panic attacks starting 4/30, ended up in the ER thinking I was having a heart attack, multiple panic attacks since then, no cause that I can think of
Release 10 — 6 months, dose 2
Symptoms: Congestion, sinus pain, headaches, body aches, fatigue, runny nose, cough (productive), sneezing, watery/stinging eyes, shortness of breath, not breathing while sleeping and waking up with a panicked feeling (came on within the past week)
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 | Dyspnoea | · | · | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | Panic reaction | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release