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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

  1. 2021-03-01
    Dose 1 — Moderna
  2. 2021-03-02
    Registered in v-safe
  3. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free 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
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash, Self-medication — Feeling: Fair · Rash, not including the immediate area around the injection site
    Free text: Still dealing with rash on neck but it went away after noon when I took Allegra D
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness, Itching · Fever · Fatigue or tiredness
    Adult check-in
  9. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-04-05
    Survey response — day 35, dose 1
    MedDRA: Erythema, Office visit, Panic attack, Skin reaction — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-05
    Report sent to call center — day 35, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-06-16
  15. 2021-08-30
    Survey response — 6 months, dose 1
    MedDRA: 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 professional
    Free text: Symptoms: Have inflammation in my body that seems to have sparked a fibromyalgia flareup. · Healthcare visit (other): Clinic visit
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-08-30
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  17. 2021-08-31
    Call successful
    Reported to VAERS voluntarily prior to GDIT contact

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna

Call center

ReportedOutcomeVAERS-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

2021-03-02

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

2021-03-03

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

2021-04-05

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

2021-08-30

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDCondition aggravated ✓ · ✓
SDErythema ✓ ✓ ✓
SDInflammation ✓ · ✓
SDPanic attack ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDSkin reaction ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release