ZL5-33327-33848
5 vaccinations
13 coded responses
54 check-ins
12 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 276 / NC
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-03-30
Dose 2 — Moderna
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2021-03-30
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, SwellingFree text: I had a lot of symptoms with first vaccine so far 2nd dose is much betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, DiarrheaFree text: Very mild compared to symptoms with first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-04
- 2021-04-05
- 2021-04-06
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2021-04-13
Survey response — day 14, dose 2MedDRA: Gastrointestinal disorder, Vision blurred — Feeling: GoodFree text: Blurred visionGI issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-27
Survey response — day 28, dose 2MedDRA: Myalgia, Pain in extremity, Pain of skin — Feeling: GoodFree text: Skin is hurting and occasionally the arm/muscle that received shot achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
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2021-06-29
Survey response — 3 months, dose 2MedDRA: Asthma — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Asthma flair ups. Also new issue thickening of uterine liningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
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2021-09-28
Survey response — 6 months, dose 2MedDRA: Hepatic enzyme increased, Office visit — Feeling: GoodFree text: Liver enzymes are up. Dr is monitoringMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Dose 3 — Moderna
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · ChillsAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2021-12-10
Survey response — day 35, dose 3MedDRA: Arthralgia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Joint pain has actually been high for last month. I didn't report it earlier bcz it just seems constant these daysMedDRA releases: 2024-11 · check-in free text available
- 2021-12-19
- 2022-02-04
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2022-04-22
Dose 4 — Moderna
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness, NauseaAdult check-in
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Pre-existing disease — Feeling: Fair · Site: Pain · HeadacheFree text: Not sure headache is related to vaccine. May be allergy relatedMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Swelling, Tenderness — Feeling: Good · Site: PainFree text: Injection site arm/muscle still sore. All swelling gone but tender to touchMedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: I had a Xolair injection today. No problems so far.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-05-06
- 2022-05-13
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2022-05-20
Survey response — day 28, dose 4MedDRA: Asthma, Diaphragmatic spasm, Pre-existing disease — Feeling: FairFree text: My asthma is acting up. Left side under my rib cage cramping. Not sure it's the weather 98° todayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
- 2022-07-24
- 2022-10-21
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2022-11-05
Dose 5 — Moderna
- 2022-11-05
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2022-11-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2022-11-07
Survey response — days 1–6 daily, dose 5MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Most of these symptoms set in after I checked in yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2023-02-04
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2023-05-06
Survey response — 6 months, dose 5MedDRA: Office visit, Postmenopausal haemorrhage — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
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2023-05-06
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-05-08
- 2023-05-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-11-05 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-29 | Unsuccessful | |
| 2023-05-06 | Unsuccessful |
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): I had a lot of symptoms with first vaccine so far 2nd dose is much better
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very mild compared to symptoms with first shot
Release 7 — day 14, dose 2
Symptoms: Blurred visionGI issues
Release 8 — day 28, dose 2
Symptoms: Skin is hurting and occasionally the arm/muscle that received shot aches
Release 9 — 3 months, dose 2
Symptoms: Asthma flair ups. Also new issue thickening of uterine lining
Release 9 — 6 months, dose 2
Symptoms: Liver enzymes are up. Dr is monitoring
Release 10 — day 35, dose 3
Symptoms: Joint pain has actually been high for last month. I didn't report it earlier bcz it just seems constant these days
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Not sure headache is related to vaccine. May be allergy related
Systemic reaction (other): Injection site arm/muscle still sore. All swelling gone but tender to touch
Systemic reaction (other): I had a Xolair injection today. No problems so far.
Release 11 — day 28, dose 4
Symptoms: My asthma is acting up. Left side under my rib cage cramping. Not sure it's the weather 98° today
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Most of these symptoms set in after I checked in yesterday
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 | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthma | ✓ | ✓ | ✓ |
| SD | Diaphragmatic spasm | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Hepatic enzyme increased | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pain of skin | ✓ | ✓ | ✓ |
| SD | Postmenopausal haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release