ZR6-17384-46405
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 442 / OH
- Registered
- 2021-05-12
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
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2021-05-11
Dose 1 — Moderna
-
2021-05-12
Registered in v-safe
- 2021-05-12
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2021-05-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-22
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2021-05-27
Survey response — day 14, dose 1MedDRA: Body temperature increased, Fatigue, Feeling abnormal, Heart rate increased, Oropharyngeal pain, Throat irritation — Feeling: FairFree text: HA, sore throat, elevated pulse rate (102) 5/25th upon rising. Temp that morning was 98.9 felt miserable all day. Today still have scratchy throat T-97.7MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-01
Survey response — day 21, dose 1MedDRA: Aphonia, Asthenia, Dry throat, Dysphonia, Fatigue, Nasopharyngitis — Feeling: FairFree text: Voice was coming back but now Throat feels dry, voice raspy. Energy level getting better. 5/24 was the onset of cold symptoms , fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Dose 2 — Moderna
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2021-06-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-06-13
- 2021-06-15
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2021-06-22
Survey response — day 14, dose 2MedDRA: Lip blister, Oral mucosal blistering — Feeling: GoodFree text: Blisters in mouth, inner lip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
- 2021-07-06
- 2021-07-13
- 2021-07-20
- 2021-09-12
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2021-12-09
Survey response — 6 months, dose 2MedDRA: Arthralgia, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Joint pain and swollen hands. Lupus flare? No fever. · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-10
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2022-06-08
Survey response — 12 months, dose 2MedDRA: Arthralgia, Blood test abnormal, Dehydration, Malaise, Malnutrition, Weight decreased — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Severe joint pain, several Abnormal bloodwork levels, dehydration, malnutrition, weight loss Doing better now. Still not sure why I was so sick.MedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Report sent to call center — 12 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 · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-06-09
- 2022-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-11 | Moderna | |
| 2 | 2021-06-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-09 | Unsuccessful | |
| 2022-06-08 | Unsuccessful |
Free text
Release 8 — day 14, dose 1
Symptoms: HA, sore throat, elevated pulse rate (102) 5/25th upon rising. Temp that morning was 98.9 felt miserable all day. Today still have scratchy throat T-97.7
Release 8 — day 21, dose 1
Symptoms: Voice was coming back but now Throat feels dry, voice raspy. Energy level getting better. 5/24 was the onset of cold symptoms , fatigue.
Release 9 — day 14, dose 2
Symptoms: Blisters in mouth, inner lip.
Release 10 — 6 months, dose 2
Symptoms: Joint pain and swollen hands. Lupus flare? No fever.
Healthcare visit (other): Office visit
Release 11 — 12 months, dose 2
Symptoms: Severe joint pain, several Abnormal bloodwork levels, dehydration, malnutrition, weight loss Doing better now. Still not sure why I was so sick.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Aphonia | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Blood test abnormal | · | · | ✓ |
| SD | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Dehydration | · | · | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Lip blister | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Malnutrition | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oral mucosal blistering | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Weight decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release