ZR8-70690-11048
4 vaccinations
5 coded responses
31 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 902 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
-
2021-03-27
Survey response — day 0, dose 1MedDRA: Heart rate increased — Feeling: Good · Abdominal pain, Rash, not including the immediate area around the injection siteFree text: Elevated heart rate for a while after the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-02
- 2021-04-04
- 2021-04-10
- 2021-04-17
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-04-30
-
2021-05-01
Survey response — day 7, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Having a little numbness on the left side of my body, something Ive very occasionally experienced over the years before. So it may have nothing to do with vaccine, but thought Id mention it anyhow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
-
2021-05-15
Survey response — day 21, dose 2MedDRA: Myalgia, Sleep disorder — Feeling: GoodFree text: Muscle pain in arm where I received vaccination all last night while in bed. Made ii difficult to sleep but sensation gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
-
2021-10-23
Survey response — 6 months, dose 2MedDRA: Eczema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I've had an eczema-like skin condition on my face, neck, and hands since early July. My doctor gave me treatments for it but they haven't been very effective. I've never had anything like eczema before so I kind of wondered where this came from.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-23
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-26
-
2021-11-23
Dose 3 — Moderna
-
2022-04-17
Dose 4 — Moderna
- 2022-04-26
- 2022-05-03
- 2022-05-09
- 2022-05-17
- 2022-05-23
- 2022-05-30
-
2023-04-18
Survey response — 12 months, dose 4MedDRA: Ageusia, Anosmia, Cough, Fatigue, Respiratory tract congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-18
Report sent to call center — 12 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-04-18
- 2023-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-04-17 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-23 | Unsuccessful | |
| 2023-04-18 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Elevated heart rate for a while after the injection
Release 8 — day 7, dose 2
Systemic reaction (other): Having a little numbness on the left side of my body, something Ive very occasionally experienced over the years before. So it may have nothing to do with vaccine, but thought Id mention it anyhow.
Release 8 — day 21, dose 2
Symptoms: Muscle pain in arm where I received vaccination all last night while in bed. Made ii difficult to sleep but sensation gone now.
Release 10 — 6 months, dose 2
Symptoms: I've had an eczema-like skin condition on my face, neck, and hands since early July. My doctor gave me treatments for it but they haven't been very effective. I've never had anything like eczema before so I kind of wondered where this came from.
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eczema | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release