ZLV-94336-14400
3 vaccinations
8 coded responses
37 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 380 / TN
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
- 2021-02-10
-
2021-02-12
Dose 2 — Moderna
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · HeadacheFree text: Heart rate up a bitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: FairFree text: Feel like blood pressure may be up but when take it its in normal rangeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased, Hypertension — Feeling: GoodFree text: Blood pressure is running higher than my normal. It feel okMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 7, dose 2MedDRA: Blood pressure increased — Feeling: GoodFree text: Still having higher number on blood pressure than what my normal isMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Extrasystoles, Palpitations — Feeling: FairFree text: Periodically heart races or seems to skip a beat maybe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-16
- 2021-08-13
-
2021-09-03
Dose 3 — Moderna
-
2021-09-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-09-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-09-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Peripheral swelling, Rash, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Got injection in right arm. Right arm is swollen entire arm compared to left arm. Lymph nodes swollen. Rash on torso. Took benedryl and rash seems better. Swelling gets better then throughout day gets worseMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-07
- 2021-09-08
- 2021-09-09
-
2021-09-10
Survey response — day 7, dose 3MedDRA: Cough — Feeling: Good · HeadacheFree text: Slight coughMedDRA releases: 2024-11 · check-in free text available
- 2021-09-24
- 2021-10-01
- 2021-10-08
- 2021-10-15
- 2021-12-03
- 2022-03-06
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2022-09-05
Survey response — 12 months, dose 3MedDRA: Kidney infection, Nephrolithiasis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Kidney infection and stoneMedDRA releases: 2024-11 · check-in free text available
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2022-09-05
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-12 | Moderna | |
| 3 | 2021-09-03 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-09-05 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Heart rate up a bit
Systemic reaction (other): Feel like blood pressure may be up but when take it its in normal range
Systemic reaction (other): Blood pressure is running higher than my normal. It feel ok
Release 4 — day 7, dose 2
Systemic reaction (other): Still having higher number on blood pressure than what my normal is
Release 5 — day 21, dose 2
Symptoms: Periodically heart races or seems to skip a beat maybe.
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Got injection in right arm. Right arm is swollen entire arm compared to left arm. Lymph nodes swollen. Rash on torso. Took benedryl and rash seems better. Swelling gets better then throughout day gets worse
Release 9 — day 7, dose 3
Systemic reaction (other): Slight cough
Release 12 — 12 months, dose 3
Symptoms: Kidney infection and stone
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 | Extrasystoles | ✓ | ✓ | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hypertension | ○ | ✓ | ○ |
| SRO | Lymphadenopathy | ✓ | · | ✓ |
| SRO | Peripheral swelling | ✓ | · | ✓ |
| SRO | Rash | ✓ | · | ✓ |
| SRO | Self-medication | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release