ZNR-29495-64805
1 vaccination
6 coded responses
14 check-ins
6 free-text entries
9 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 396 / MS
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-26
Registered in v-safe
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2021-02-26
Dose 1 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Chills, 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 · Emergency room or emergency department visitAdult check-in
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2021-02-28
Report sent to call center — days 1–6 daily, 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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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
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2021-03-02
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitAdult check-in
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2021-03-04
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-05
Survey response — day 7, dose 1MedDRA: Emergency care, Thrombosis — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness, 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 consultationFree text: I have had three emergency room visits this week for suspected blood clots. The ER doctor said this has been happening with other patients who have just received the vaccine as well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Report sent to call center — day 7, 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)
- 2021-03-12
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2021-03-19
Survey response — day 21, dose 1MedDRA: Fatigue — Feeling: Poor · Be unable to work, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Report sent to call center — day 21, dose 1Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-26
Survey response — day 28, dose 1MedDRA: Thrombosis — 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: Symptoms of potential blood clotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Report sent to call center — day 28, 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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2021-04-02
Survey response — day 35, dose 1MedDRA: Deep vein thrombosis — 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: New suspected DVT this weekMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Report sent to call center — day 35, 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)
- 2021-04-09
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2021-05-28
Survey response — 3 months, dose 1MedDRA: Impaired work ability, Rest regimen — 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: My health is considerably worse since the vaccine. I have been unable to work since the day I got my COVID vaccine. I went from working a full time clinical rotation to complete bed rest. I am now having to consider getting a wheelchair.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Report sent to call center — 3 months, 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)
- 2021-06-10
- 2021-06-10
- 2021-06-10
- 2021-06-10
- 2021-06-10
- 2021-06-10
- 2021-06-10
- 2021-06-10
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2021-06-17
Call successfulCompleted over the phone
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2021-08-27
Survey response — 6 months, dose 1MedDRA: Deep vein thrombosis, Dysstasia, Fatigue, Gait disturbance — 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 · Outpatient clinic or urgent care clinic visitFree text: DVT symptoms, new/worsening fatigue. I have a referral to begin PT to help me with standing tolerance & walking.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-27
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-08-30
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2021-08-31
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-28 | Successful | Completed over the phone |
| 2021-03-02 | Successful | Completed over the phone |
| 2021-03-04 | Successful | Completed over the phone |
| 2021-03-05 | Successful | Completed over the phone |
| 2021-03-19 | Successful | Completed over the phone |
| 2021-03-26 | Successful | Completed over the phone |
| 2021-04-02 | Successful | Completed over the phone |
| 2021-05-28 | Successful 2021-06-17 |
Completed over the phone |
| 2021-08-27 | Successful 2021-08-31 |
Reported to VAERS during previous contact from GDIT |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): I have had three emergency room visits this week for suspected blood clots. The ER doctor said this has been happening with other patients who have just received the vaccine as well.
Release 5 — day 21, dose 1
Symptoms: Fatigue
Release 6 — day 28, dose 1
Symptoms: Symptoms of potential blood clot
Release 6 — day 35, dose 1
Symptoms: New suspected DVT this week
Release 8 — 3 months, dose 1
Symptoms: My health is considerably worse since the vaccine. I have been unable to work since the day I got my COVID vaccine. I went from working a full time clinical rotation to complete bed rest. I am now having to consider getting a wheelchair.
Release 9 — 6 months, dose 1
Symptoms: DVT symptoms, new/worsening fatigue. I have a referral to begin PT to help me with standing tolerance & walking.
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 |
|---|---|---|---|---|
| SD | Deep vein thrombosis | ✓ | ✓ | ✓ |
| SD | Dysstasia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | ✓ | · | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Rest regimen | ✓ | ✓ | ✓ |
| SD | Thrombosis | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Thrombosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release