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ZPW-23771-49725

1 vaccination 3 coded responses 3 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
51-55
ZIP prefix
577 / SD
Registered
2021-04-11
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-11
    Registered in v-safe
  3. 2021-04-11
    Survey response — day 7, dose 1
    MedDRA: Erythema, Mass, Pain — Feeling: Good · Site: Redness
    Free text: Red, painful lump at gluteal cleft. Appeared yesterday. Unrelated?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-15
    Survey response — day 14, dose 1
    MedDRA: Cyst, Fatigue, Malaise, Pain, Pilonidal disease, Somnolence — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Pilondial cyst. Feel just a general Ill feeling. Very tired. Just want to sleep. All over body aches. · Healthcare visit (other): Care for the cyst. I havent been working as I had an SI fusion 3 weeks ago but if I was working I would have called out with these symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-15
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-04-26
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Headache, Injection site warmth, Nausea, Pain, Rash, Skin warm — Feeling: Fair · Be unable to do your normal daily activities
    Free text: 1 week post vaccine I developed a red rash on my arm where I received the shot that was a warm to the touch. 2 weeks post vaccine I got sick. Body aches, nauseous, headache, extreme exhaustion. Lasted for 3 days. I do not plan to get the 2nd shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2022-02-22

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-15 Unsuccessful

Free text

Release 7 — day 7, dose 1

2021-04-11

Systemic reaction (other): Red, painful lump at gluteal cleft. Appeared yesterday. Unrelated?

Release 7 — day 14, dose 1

2021-04-15

Symptoms: Pilondial cyst. Feel just a general Ill feeling. Very tired. Just want to sleep. All over body aches.
Healthcare visit (other): Care for the cyst. I havent been working as I had an SI fusion 3 weeks ago but if I was working I would have called out with these symptoms.

Release 8 — day 21, dose 1

2021-04-26

Symptoms: 1 week post vaccine I developed a red rash on my arm where I received the shot that was a warm to the touch. 2 weeks post vaccine I got sick. Body aches, nauseous, headache, extreme exhaustion. Lasted for 3 days. I do not plan to get the 2nd shot. cut off by CDC

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

FieldPreferred term2021-092023-042024-11
HCVOCyst ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPilonidal disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROMass ✓ ✓ ✓
SROPain ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release