ZNC-16173-53601
3 vaccinations
9 coded responses
16 check-ins
9 free-text entries
12 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 787 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
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2021-01-13
Dose 1 — Moderna
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2021-01-13
Survey response — day 0, dose 1MedDRA: Office visit — Feeling: Poor · Site: Pain, Swelling · Abdominal pain · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: (b)(6) ClinicMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-17
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2021-01-27
Survey response — day 14, dose 1MedDRA: Ageusia — Feeling: Fair · Be unable to work, 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: Taste buds is declining. I can't taste my foodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Report sent to call center — day 14, dose 1Be 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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2021-02-03
Survey response — day 21, dose 1MedDRA: Dysphonia, Fatigue, Haemorrhage, Medical counselling — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Hoarseness and tired and bleeding problems · Healthcare visit (other): Patient portalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-13
- 2021-02-17
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2021-03-02
Dose 2 — Moderna
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2021-03-02
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-03-05
Report sent to call center — days 1–6 daily, 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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2021-03-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-03-08
Report sent to call center — days 1–6 daily, 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)
- 2021-03-10
- 2021-03-10
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2021-03-10
Call successfulCompleted over the phone
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2021-03-23
Survey response — day 21, dose 2MedDRA: Abdominal pain upper, Hypoaesthesia, Nausea, Vision blurred — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Numbness in hands, nauseous, blurry vision, stomach pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Report sent to call center — day 21, 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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2021-03-30
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Chest discomfort, Dyspnoea, Peripheral swelling, Rhinorrhoea — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Stomach pain, shortness of breath, runny nose, mucus in chest. Swelling of the legs and feet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Report sent to call center — day 28, 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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2021-04-08
Survey response — day 35, dose 2MedDRA: Arthralgia, Dyspnoea, Feeling abnormal, Head discomfort, Headache, Neck pain, Rhinorrhoea, Self-medication — 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, Outpatient clinic or urgent care clinic visitFree text: Mental cloudiness, achiness in the joints, headache that will not go away with Tylenol, runny nose, shortness of breath with minimal movement. Pain in the shoulders and neck. Head feels heavy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Report sent to call center — day 35, 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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2021-06-01
Survey response — 3 months, dose 2MedDRA: Headache, Hypoaesthesia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Numbness in my hands and legs, headaches, body limpness,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Report sent to call center — 3 months, 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)
- 2021-06-09
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2021-06-10
Callback requested for09:00AM ET
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2021-06-10
Call successfulCompleted over the phone
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2022-01-06
Dose 3 — Moderna
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2022-03-02
Survey response — 12 months, dose 2MedDRA: Headache, Nasal congestion, Pain, Productive cough — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Headaches, stuffy nose, Flemmy. Aches and pain.MedDRA releases: 2024-11 · check-in free text available
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2022-03-02
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-03-03
Call successfulParticipant prefers to complete VAERS report online
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2022-07-07
Survey response — 6 months, dose 3MedDRA: Condition aggravated, Headache, Nasal congestion, Poor quality sleep, Positive airway pressure therapy, Pre-existing disease, Taste disorder — Feeling: Fair · 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, Outpatient clinic or urgent care clinic visitFree text: Nose stays stuffy and taste bud changed. I use a C pap machine and can't sleep well at all. I have slight headaches. More UTI's than normal and not ble to clear it with the normal antibiotics.MedDRA releases: 2024-11 · check-in free text available
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2022-07-07
Report sent to call center — 6 months, dose 3Be 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 · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-08
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
- 2022-07-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2022-01-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-13 | Successful | Completed over the phone |
| 2021-01-15 | Successful 2021-03-10 |
Completed over the phone |
| 2021-01-27 | Successful | Completed over the phone |
| 2021-02-03 | Successful | Completed over the phone |
| 2021-03-05 | Successful | Completed over the phone |
| 2021-03-08 | Successful | Completed over the phone |
| 2021-03-23 | Successful | Completed over the phone |
| 2021-03-30 | Successful | Completed over the phone |
| 2021-04-08 | Successful | Completed over the phone |
| 2021-06-01 | Successful 2021-06-10 |
Completed over the phone |
| 2022-03-02 | Successful 2022-03-03 |
Participant prefers to complete VAERS report online |
| 2022-07-07 | Unsuccessful |
Free text
Release 1 — day 0, dose 1
Release 2 — day 14, dose 1
Symptoms: Taste buds is declining. I can't taste my food
Release 3 — day 21, dose 1
Symptoms: Hoarseness and tired and bleeding problems
Healthcare visit (other): Patient portal
Release 6 — day 21, dose 2
Symptoms: Numbness in hands, nauseous, blurry vision, stomach pain.
Release 6 — day 28, dose 2
Symptoms: Stomach pain, shortness of breath, runny nose, mucus in chest. Swelling of the legs and feet.
Release 7 — day 35, dose 2
Symptoms: Mental cloudiness, achiness in the joints, headache that will not go away with Tylenol, runny nose, shortness of breath with minimal movement. Pain in the shoulders and neck. Head feels heavy.
Release 8 — 3 months, dose 2
Symptoms: Numbness in my hands and legs, headaches, body limpness,
Release 11 — 12 months, dose 2
Symptoms: Headaches, stuffy nose, Flemmy. Aches and pain.
Release 12 — 6 months, dose 3
Symptoms: Nose stays stuffy and taste bud changed. I use a C pap machine and can't sleep well at all. I have slight headaches. More UTI's than normal and not ble to clear it with the normal antibiotics.
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 | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Ageusia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Haemorrhage | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Positive airway pressure therapy | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release