ZNG-13584-56965
4 vaccinations
6 coded responses
28 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 452 / OH
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
- 2020-12-31
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Had a little heartburn early this AM-now resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Dyspepsia — Feeling: GoodFree text: Heartburn - mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-14
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have history of benign positional vertigo . Had trouble with this for 2 days over past week - May or may not be related to vaccine- just mentioningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Dose 2 — Moderna
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-06
- 2021-03-12
-
2021-04-30
Survey response — 3 months, dose 2MedDRA: Gastric antral vascular ectasia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Diagnosed with GAVE- gastric antral vascular ecstasies · Healthcare visit (other): EGD procedureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-30
-
2021-10-30
Dose 3 — Moderna
- 2022-01-29
-
2022-04-13
Call successfulNot applicable - Accidental Reporting
-
2022-09-11
Dose 4 — Pfizer-BioNTech
-
2022-09-19
Survey response — day 7, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Chills, Muscle or body aches · Be unable to do your normal daily activitiesFree text: These were within 24 hours of vaccine dare not today - also some LN swelling under armpit on side of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-10-09
-
2022-10-16
Survey response — day 35, dose 4MedDRA: Chest discomfort, Dyspnoea, Myalgia, Office visit, Painful respiration, Pre-existing disease — 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 · Emergency room or emergency department visitFree text: Had some chest discomfort, SOB, pain with deep breath. Have hx of clotting disorder and take anticoagulants so went to be checked for PE. Was negative . Still having some chest discomfort on/off muscle sorenessMedDRA releases: 2024-11 · check-in free text available
-
2022-10-16
Report sent to call center — day 35, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-17
- 2022-10-25
- 2022-12-11
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-09-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-30 | Successful 2022-04-13 |
Not applicable - Accidental Reporting |
| 2022-10-16 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Had a little heartburn early this AM-now resolved.
Systemic reaction (other): Heartburn - mild
Release 2 — day 21, dose 1
Symptoms: I have history of benign positional vertigo . Had trouble with this for 2 days over past week - May or may not be related to vaccine- just mentioning
Release 8 — 3 months, dose 2
Symptoms: Diagnosed with GAVE- gastric antral vascular ecstasies
Healthcare visit (other): EGD procedure
Release 12 — day 7, dose 4
Systemic reaction (other): These were within 24 hours of vaccine dare not today - also some LN swelling under armpit on side of injection
Release 12 — day 35, dose 4
Symptoms: Had some chest discomfort, SOB, pain with deep breath. Have hx of clotting disorder and take anticoagulants so went to be checked for PE. Was negative . Still having some chest discomfort on/off muscle soreness
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 | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Gastric antral vascular ectasia | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release