ZL5-13387-02084
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
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2021-02-01
Dose 1 — Moderna
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2021-02-01
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-02-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-05
- 2021-02-06
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
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2021-03-01
Dose 2 — Moderna
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to workAdult check-in
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2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Swelling and redness and warm to the touch at injection sitwMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Injection site pain, Injection site pruritus, Pain — Feeling: Good · Site: Redness, Itching · Muscle or body achesFree text: Red spot still on arm at injection site, slightly sore and itchy. Still have bodyaches that come and goMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-08
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2021-03-22
Survey response — day 21, dose 2MedDRA: Fatigue, Headache, Pain, Sensation of foreign body — Feeling: Poor · Be unable to workFree text: Body aches and lump in throat headache and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
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2021-09-01
Survey response — 6 months, dose 2MedDRA: Condition aggravated, Costochondritis, Inflammation, Pain, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Inflammation in my chest, costcochronditis, and alot of all over aches and Inflammation. I have fibermyalgia so after i got vaccinated it flared up and im not sure if the vaccine contributed to the ongoing issues im havingMedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-02 | Unsuccessful |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Dizzy
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling and redness and warm to the touch at injection sitw
Systemic reaction (other): Red spot still on arm at injection site, slightly sore and itchy. Still have bodyaches that come and go
Release 6 — day 21, dose 2
Symptoms: Body aches and lump in throat headache and fatigue
Release 9 — 6 months, dose 2
Symptoms: Inflammation in my chest, costcochronditis, and alot of all over aches and Inflammation. I have fibermyalgia so after i got vaccinated it flared up and im not sure if the vaccine contributed to the ongoing issues im having
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Costochondritis | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Sensation of foreign body | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release