ZMX-10518-47641
2 vaccinations
9 coded responses
17 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-03-16
Registered in v-safe
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-03-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: Hay feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — day 7, dose 1MedDRA: Night sweats — Feeling: Good · Site: Redness · Fever · Muscle or body aches, Fatigue or tirednessFree text: Night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — day 14, dose 1MedDRA: Asthenia, Depressed mood — Feeling: FairFree text: Loss of energy and feeling downThis is related to losing my therapistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-09
Dose 2 — Moderna
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2021-04-09
Survey response — day 0, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None · Get care from a doctor or other healthcare professionalFree text: Drive throughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Restlessness — Feeling: Fair · Site: Pain, SwellingFree text: Stir crazyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Flank pain, Injection site reaction, Injection site swelling — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: The vaccination spot and the muscles around it are swollen and trying to move it upward causes my shoulder and left side to hurt. It does affect my daily activities. I did not get out of bed this morning. I just rested. That is some virus!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: I have pain in my hands, arm, shoulder and back mostly on the vaccination side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-23
- 2021-04-30
- 2021-05-07
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2021-05-17
Survey response — day 35, dose 2MedDRA: Sinusitis — Feeling: GoodFree text: Sinus infection and allergyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
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2021-07-09
Survey response — 3 months, dose 2MedDRA: Hypersensitivity, Upper-airway cough syndrome — Feeling: GoodFree text: Allergic reactions with post nasal drip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-10
- 2022-02-16
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-09 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Hay fever
Release 5 — day 7, dose 1
Systemic reaction (other): Night sweats
Release 6 — day 14, dose 1
Symptoms: Loss of energy and feeling downThis is related to losing my therapist
Release 7 — day 0, dose 2
Healthcare visit (other): Drive through
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Stir crazy
Systemic reaction (other): The vaccination spot and the muscles around it are swollen and trying to move it upward causes my shoulder and left side to hurt. It does affect my daily activities. I did not get out of bed this morning. I just rested. That is some virus!
Systemic reaction (other): I have pain in my hands, arm, shoulder and back mostly on the vaccination side.
Release 8 — day 35, dose 2
Symptoms: Sinus infection and allergy
Release 9 — 3 months, dose 2
Symptoms: Allergic reactions with post nasal drip.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Depressed mood | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Flank pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release