ZP2-21337-25761
2 vaccinations
5 coded responses
12 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Muscle or body achesAdult check-in
- 2021-04-01
-
2021-04-02
Survey response — day 7, dose 1MedDRA: Pre-existing disease — Feeling: Good · Joint painsFree text: I want to retract the buzzing in my ears. I looked at my calendar and it started 1 day before I received the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-17
-
2021-04-23
Dose 2 — Moderna
-
2021-04-30
Survey response — day 7, dose 2MedDRA: Eye swelling, Ocular hyperaemia, Swelling face — Feeling: Good · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: I had a red ump under my right eye, my injection was on the right side. The swelling went down a little and the lump dropped from above the cheek bone to below the cheek bone. It is still on my face.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
-
2021-05-21
Survey response — day 28, dose 2MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 2 migraine headaches this week, hoping theyre related to the weather and not a vaccine side effect.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-28
Survey response — day 35, dose 2MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigued, very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-06
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Balance disorder — Feeling: Fair · 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: Problems with equilibrium/balanceMedDRA releases: 2024-11 · check-in free text available
-
2021-10-22
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-22 | Unsuccessful |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): I want to retract the buzzing in my ears. I looked at my calendar and it started 1 day before I received the vaccine
Release 8 — day 7, dose 2
Systemic reaction (other): I had a red ump under my right eye, my injection was on the right side. The swelling went down a little and the lump dropped from above the cheek bone to below the cheek bone. It is still on my face.
Release 8 — day 28, dose 2
Symptoms: 2 migraine headaches this week, hoping theyre related to the weather and not a vaccine side effect.
Release 8 — day 35, dose 2
Symptoms: Fatigued, very tired
Release 10 — 6 months, dose 2
Symptoms: Problems with equilibrium/balance
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 | Balance disorder | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swelling face | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release