ZM8-16140-09324
2 vaccinations
6 coded responses
14 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 786 / TX
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
-
2021-02-23
Dose 2 — Moderna
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2021-02-23
Survey response — day 0, dose 2MedDRA: Autoimmune disorder — Feeling: Fair · Joint painsFree text: Autoimmune diseasesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · 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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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have 3 autoimmune diseases and migraines, so I have several of the above, but not from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 7, dose 2MedDRA: Migraine — Feeling: Good · Site: Itching · Chills, HeadacheFree text: It's just a migraine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-17
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2021-03-25
Survey response — day 28, dose 2MedDRA: Asthenia, Chest pain, Dyspnoea, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Chest pain, weakness, shortness of breath, headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-08
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Sepsis — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Intermediate sepsis of the feet/blood.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-10-08
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2022-02-27
Survey response — 12 months, dose 2MedDRA: Chest pain, Disability, Dyspnoea, Gait inability, Headache, Heart rate decreased, Lymphoedema, Office visit, Staphylococcal infection — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Symptoms: Chest pain, shortness of breath, horrible headaches, lymphoedema, staph infection in legs, low heart rate, inability to walk. · Healthcare visit (other): Numerous doctor appointments, much new disability.MedDRA releases: 2024-11 · check-in free text available
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2022-02-27
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2022-03-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-26 | Unsuccessful | |
| 2022-02-27 | Unsuccessful |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Autoimmune diseases
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I have 3 autoimmune diseases and migraines, so I have several of the above, but not from the vaccine.
Release 4 — day 7, dose 2
Systemic reaction (other): It's just a migraine.
Release 6 — day 28, dose 2
Symptoms: Chest pain, weakness, shortness of breath, headache.
Release 9 — 6 months, dose 2
Symptoms: Intermediate sepsis of the feet/blood.
Release 11 — 12 months, dose 2
Symptoms: Chest pain, shortness of breath, horrible headaches, lymphoedema, staph infection in legs, low heart rate, inability to walk.
Healthcare visit (other): Numerous doctor appointments, much new disability.
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 | Disability | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Gait inability | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate decreased | · | · | ✓ |
| SD | Lymphoedema | · | · | ✓ |
| SD | Sepsis | ✓ | · | ✓ |
| SD | Staphylococcal infection | · | · | ✓ |
| SRO | Autoimmune disorder | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release