ZMS-31280-98535
5 vaccinations
15 coded responses
64 check-ins
15 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 630 / MO
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Noninfective gingivitis, Stomatitis — Feeling: GoodFree text: Mouth sore on lower gumMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 1MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Minor sore throat on and off. Might be allergies possibly.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
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2021-04-02
Dose 2 — Moderna
- 2021-04-02
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-04
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2021-04-06
Survey response — days 1–6 daily, dose 2MedDRA: Apathy, Fatigue — Feeling: GoodFree text: The past couple days including today Im noticing Im putting forth a lot more effort to complete my daily walks. Im more tired afterward.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-08
- 2021-04-11
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2021-04-19
Survey response — day 14, dose 2MedDRA: Gastrooesophageal reflux disease, Headache, Self-medication — Feeling: GoodFree text: One day I had a headache thats eaves with Motrin; had issues w my reflux this week almost daily.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-02
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2021-05-07
Survey response — day 35, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Tingling, numbness, pins and needles more often this past week in my right hand and forearmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 42, dose 2MedDRA: Carpal tunnel syndrome, Office visit — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Ive been diagnosed w carpel tunnel · Healthcare visit (other): In office visit w my doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-02
Survey response — 3 months, dose 2MedDRA: Carpal tunnel syndrome, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Carpel tunnel · Healthcare visit (other): Dr visit in person; occupational therapyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-02
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-07
- 2021-07-08
- 2021-10-01
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Thirst — Feeling: Fair · Site: Pain · Chills, Muscle or body achesFree text: Extremely thirstyMedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Dry mouth, Thirst — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Very thirsty/dry mouthMedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
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2021-11-22
Survey response — day 21, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Have a sore throat todayMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 28, dose 3MedDRA: Oropharyngeal blistering, Oropharyngeal pain, Rhinorrhoea, Viral infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sore throat w blisters, runny nose; diagnosed w a virusMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Report sent to call center — day 28, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-30
Call successfulNot applicable - Accidental Reporting
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2021-12-06
Survey response — day 35, dose 3MedDRA: Influenza like illness, Influenza virus test negative, Malaise, Office visit, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative, Viral infection — Feeling: Fair · Be unable to work or attend schoolFree text: Flu like symptoms congestion, fever, severe malaise, sore throat got Covid tested and tested for flu and both came back negative; saw dr and told had a virus;MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
- 2022-01-31
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2022-05-04
Survey response — 6 months, dose 3MedDRA: Hypertension, Office visit, Pre-existing disease, Tooth resorption — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My high blood pressure has returned. I'm now back on blood pressure medicine that is controlling it; I also developed internal resorption of a tooth and being seen soon by an oral surgeon to have it removed. · Healthcare visit (other): Doctor and dentist in-person visitsMedDRA releases: 2024-11 · check-in free text available
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2022-05-04
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-05-05
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2022-05-06
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-05-16
Dose 4 — Moderna
- 2022-05-16
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2022-05-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2022-05-18
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
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2022-05-30
Survey response — day 14, dose 4MedDRA: Cough, Fatigue, Oropharyngeal blistering, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a virus that caused blisters in my throat, fatigue, cough; I had multiple Covid tests that were negativeMedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Report sent to call center — day 14, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-06-01
- 2022-06-01
- 2022-06-01
- 2022-06-01
- 2022-06-01
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
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2022-08-15
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Emergency room or emergency department visit, HospitalizationFree text: Covid with complicationsMedDRA releases: 2024-11 · check-in free text available
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2022-08-15
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
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2022-08-16
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-07
Dose 5 — Moderna
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-05-16 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-14 | Successful | Not applicable - Accidental Reporting |
| 2021-07-02 | Successful | Not applicable - Accidental Reporting |
| 2021-11-29 | Successful 2021-11-30 |
Not applicable - Accidental Reporting |
| 2022-05-04 | Successful 2022-05-06 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-05-30 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-08-15 | Successful 2022-08-16 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Mouth sore on lower gum
Release 5 — day 14, dose 1
Symptoms: Minor sore throat on and off. Might be allergies possibly.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The past couple days including today Im noticing Im putting forth a lot more effort to complete my daily walks. Im more tired afterward.
Release 7 — day 14, dose 2
Symptoms: One day I had a headache thats eaves with Motrin; had issues w my reflux this week almost daily.
Release 8 — day 35, dose 2
Symptoms: Tingling, numbness, pins and needles more often this past week in my right hand and forearm
Release 8 — day 42, dose 2
Symptoms: Ive been diagnosed w carpel tunnel
Healthcare visit (other): In office visit w my doctor
Release 9 — 3 months, dose 2
Symptoms: Carpel tunnel
Healthcare visit (other): Dr visit in person; occupational therapy
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Extremely thirsty
Systemic reaction (other): Very thirsty/dry mouth
Release 10 — day 21, dose 3
Symptoms: Have a sore throat today
Release 10 — day 28, dose 3
Symptoms: Sore throat w blisters, runny nose; diagnosed w a virus
Release 10 — day 35, dose 3
Symptoms: Flu like symptoms congestion, fever, severe malaise, sore throat got Covid tested and tested for flu and both came back negative; saw dr and told had a virus;
Release 11 — 6 months, dose 3
Symptoms: My high blood pressure has returned. I'm now back on blood pressure medicine that is controlling it; I also developed internal resorption of a tooth and being seen soon by an oral surgeon to have it removed.
Healthcare visit (other): Doctor and dentist in-person visits
Release 11 — day 14, dose 4
Symptoms: I had a virus that caused blisters in my throat, fatigue, cough; I had multiple Covid tests that were negative
Release 12 — 3 months, dose 4
Symptoms: Covid with complications
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 | Carpal tunnel syndrome | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal blistering | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Tooth resorption | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Apathy | ✓ | ✓ | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Noninfective gingivitis | ✓ | ✓ | ✓ |
| SRO | Stomatitis | ✓ | ✓ | ✓ |
| SRO | Thirst | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release