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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

  1. 2021-05-11
    Dose 1 — Moderna
  2. 2021-05-12
    Registered in v-safe
  3. 2021-05-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-05-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-05-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-27
    Survey response — day 14, dose 1
    MedDRA: Body temperature increased, Fatigue, Feeling abnormal, Heart rate increased, Oropharyngeal pain, Throat irritation — Feeling: Fair
    Free 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-97.7
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-01
    Survey response — day 21, dose 1
    MedDRA: Aphonia, Asthenia, Dry throat, Dysphonia, Fatigue, Nasopharyngitis — Feeling: Fair
    Free 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
  11. 2021-06-08
    Dose 2 — Moderna
  12. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  13. 2021-06-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  14. 2021-06-15
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  15. 2021-06-22
    Survey response — day 14, dose 2
    MedDRA: Lip blister, Oral mucosal blistering — Feeling: Good
    Free text: Blisters in mouth, inner lip.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-12-09
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Office visit, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Joint pain and swollen hands. Lupus flare? No fever. · Healthcare visit (other): Office visit
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-12-09
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  23. 2021-12-10
  24. 2022-06-08
    Survey response — 12 months, dose 2
    MedDRA: 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, Hospitalization
    Free 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
  25. 2022-06-08
    Report sent to call center — 12 months, dose 2
    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 · Hospitalization · 1 call case(s)
  26. 2022-06-09
  27. 2022-06-09

Vaccinations

DoseDateManufacturerCo-administered
12021-05-11Moderna
22021-06-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-12-09 Unsuccessful
2022-06-08 Unsuccessful

Free text

Release 8 — day 14, dose 1

2021-05-27

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

2021-06-01

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

2021-06-22

Symptoms: Blisters in mouth, inner lip.

Release 10 — 6 months, dose 2

2021-12-09

Symptoms: Joint pain and swollen hands. Lupus flare? No fever.
Healthcare visit (other): Office visit

Release 11 — 12 months, dose 2

2022-06-08

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDAphonia ✓ ✓ ✓
SDArthralgia · · ✓
SDAsthenia ✓ ✓ ✓
SDBlood test abnormal · · ✓
SDBody temperature increased ✓ ✓ ✓
SDDehydration · · ✓
SDDry throat ✓ ✓ ✓
SDDysphonia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDLip blister ✓ ✓ ✓
SDMalaise · · ✓
SDMalnutrition · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDOral mucosal blistering ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPeripheral swelling · · ✓
SDThroat irritation ✓ ✓ ✓
SDWeight decreased · · ✓

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