ZM9-12956-86887
1 vaccination
4 coded responses
11 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 644 / MO
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-02
Registered in v-safe
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Face and neck have looked and felt flush today. It has felt like a sunburn.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Rash, Self-medication — Feeling: Fair · Rash, not including the immediate area around the injection siteFree text: Still dealing with rash on neck but it went away after noon when I took Allegra DMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Itching · Fever · Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-15
- 2021-03-22
-
2021-04-05
Survey response — day 35, dose 1MedDRA: Erythema, Office visit, Panic attack, Skin reaction — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Started experiencing panic attacks after my vaccine due to the fact I was still experiencing red skin reactions sporadically for weeks after my vaccination. It was scaring me that nobody knew why it was happening and nobody could help me. · Healthcare visit (other): In person doctor visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Report sent to call center — day 35, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-16
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2021-08-30
Survey response — 6 months, dose 1MedDRA: Condition aggravated, Inflammation, Office visit, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Have inflammation in my body that seems to have sparked a fibromyalgia flareup. · Healthcare visit (other): Clinic visitMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-30
Report sent to call center — 6 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-08-31
Call successfulReported to VAERS voluntarily prior to GDIT contact
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-05 | Successful | Reported to VAERS voluntarily prior to GDIT contact |
| 2021-08-30 | Successful 2021-08-31 |
Reported to VAERS voluntarily prior to GDIT contact |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Face and neck have looked and felt flush today. It has felt like a sunburn.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Still dealing with rash on neck but it went away after noon when I took Allegra D
Release 7 — day 35, dose 1
Symptoms: Started experiencing panic attacks after my vaccine due to the fact I was still experiencing red skin reactions sporadically for weeks after my vaccination. It was scaring me that nobody knew why it was happening and nobody could help me.
Healthcare visit (other): In person doctor visit
Release 9 — 6 months, dose 1
Symptoms: Have inflammation in my body that seems to have sparked a fibromyalgia flareup.
Healthcare visit (other): Clinic visit
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 | Condition aggravated | ✓ | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Inflammation | ✓ | · | ✓ |
| SD | Panic attack | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release