ZR6-13867-78415
2 vaccinations
4 coded responses
10 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 814 / CO
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
-
2021-01-24
Survey response — day 21, dose 1MedDRA: Headache — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Daily very severe headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-30
Dose 2 — Moderna
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I didnt check In sooner but for 2 days after the vaccine, I had severe body-wide joint pain. 10/10 worst pain in my whole life.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-06
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
-
2021-02-20
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Just strong fatigue and occasional (ever couple of days) headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-05-03
-
2021-07-31
Survey response — 6 months, dose 2MedDRA: Decreased appetite, Dyspnoea exertional, Fatigue, Feeling hot, Somnolence — 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 · Emergency room or emergency department visitFree text: Extreme fatigue, easily out of breath/winded from just walking up stairs (Im supposed to be an athlete.) Not hungry ever, to motivation, only want to sleep. Feel feverish but not feverMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Report sent to call center — 6 months, dose 2Be 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)
- 2021-08-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-30 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-31 | Unsuccessful |
Free text
Release 2 — day 21, dose 1
Symptoms: Daily very severe headaches.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt check In sooner but for 2 days after the vaccine, I had severe body-wide joint pain. 10/10 worst pain in my whole life.
Release 4 — day 21, dose 2
Symptoms: Just strong fatigue and occasional (ever couple of days) headaches
Release 9 — 6 months, dose 2
Symptoms: Extreme fatigue, easily out of breath/winded from just walking up stairs (Im supposed to be an athlete.) Not hungry ever, to motivation, only want to sleep. Feel feverish but not fever
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 | Decreased appetite | ✓ | · | ✓ |
| SD | Dyspnoea exertional | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release