ZQS-13607-42366
2 vaccinations
9 coded responses
15 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 950 / CA
- Registered
- 2021-05-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-08
Dose 1 — Moderna
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2021-05-06
Registered in v-safe
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2021-05-06
Dose 2 — Moderna
- 2021-05-06
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2021-05-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Tremor — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Got trembly and tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Good · Fatigue or tirednessFree text: Very mild joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Oedema — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: EdemaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
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2021-05-27
Survey response — day 21, dose 2MedDRA: Arthralgia, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore joints racing heartMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — day 28, dose 2MedDRA: Back pain, Peripheral swelling — Feeling: FairFree text: Just swelling legs low back pain not sure its relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-10
Survey response — day 35, dose 2MedDRA: Arthralgia, Fatigue, Oedema — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Edema tired possibly kidney stone joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-17
Survey response — day 42, dose 2MedDRA: Oedema peripheral — Feeling: FairFree text: Edema legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
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2021-11-04
Survey response — 6 months, dose 2MedDRA: Arthralgia, Depression, Nephrolithiasis, Renal stone removal, Stress — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Kidney stones so removal alf those.. sore joints but don't know if that's just stress. The only other thing is really bad depression not sure that's related to vaccine it's been a stressful year and a half!!! Right???!!!MedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — 12 months, dose 2MedDRA: Eye disorder, Heart rate increased, Ligament pain, Myalgia, Tendon pain — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Spots in eyes, jigiment tendon muscle pain extreme fast heart beatMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-06 | Unsuccessful |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Got trembly and tired
Systemic reaction (other): Very mild joint pain
Systemic reaction (other): Edema
Release 8 — day 21, dose 2
Symptoms: Sore joints racing heart
Release 8 — day 28, dose 2
Symptoms: Just swelling legs low back pain not sure its related
Release 9 — day 35, dose 2
Symptoms: Edema tired possibly kidney stone joint pain
Release 9 — day 42, dose 2
Symptoms: Edema legs
Release 10 — 6 months, dose 2
Symptoms: Kidney stones so removal alf those.. sore joints but don't know if that's just stress. The only other thing is really bad depression not sure that's related to vaccine it's been a stressful year and a half!!! Right???!!!
Release 11 — 12 months, dose 2
Symptoms: Spots in eyes, jigiment tendon muscle pain extreme fast heart beat
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Ligament pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SD | Oedema | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Renal stone removal | · | · | ✓ |
| SD | Stress | · | · | ✓ |
| SD | Tendon pain | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Oedema | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release