ZNW-13526-15648
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 100 / NY
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
-
2021-03-29
Registered in v-safe
-
2021-03-29
Dose 2 — Moderna
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2021-03-29
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Emergency care, Loss of consciousness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · 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 visitFree text: I passed out this morning and my husband brought me to the ERMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
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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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Anxiety, Insomnia, Malaise — Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Trouble sleeping at night from anxiety and not feeling greatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Last night was the first night I could sleep soundly. It was like my body was on alert and unable to relax into a sleep since the second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration, Thirst — Feeling: Good · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Throughout recovering frim this vaccine, I have been consuming so much water and I cant seem to hydrate enough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 7, dose 2MedDRA: Oligomenorrhoea, Thirst — Feeling: GoodFree text: Still feeling extremely thirsty, and had a prolonged period.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-21
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2021-12-16
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-30 | Successful 2021-12-16 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I passed out this morning and my husband brought me to the ER
Systemic reaction (other): Trouble sleeping at night from anxiety and not feeling great
Systemic reaction (other): Last night was the first night I could sleep soundly. It was like my body was on alert and unable to relax into a sleep since the second shot.
Systemic reaction (other): Throughout recovering frim this vaccine, I have been consuming so much water and I cant seem to hydrate enough.
Release 7 — day 7, dose 2
Systemic reaction (other): Still feeling extremely thirsty, and had a prolonged period.
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 |
|---|---|---|---|---|
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Emergency care | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oligomenorrhoea | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release