ZRB-23918-44279
1 vaccination
4 coded responses
4 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 027 / MA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-28
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
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2021-03-07
Survey response — day 7, dose 1MedDRA: Contusion, Haemorrhage, Nail bed bleeding, Spider vein, Vein rupture — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Brise like broken veins since vaccination around ankles, legs, ribs, bleeding around nailbed that continued for 1 hour , these began after vaccination and not experienced before vaccination bruising and spider vein bleeding and bleeding of finger 1 hr after manicure. New to me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — day 14, dose 1MedDRA: Arthralgia, Body temperature increased, Chills, Fatigue, Feeling hot, Headache, Insomnia, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intermittent feverthe normal for me in the am is 97.0, but in later in afternoon cheeks begin to get hot and temperaturegoes up to 98.8 to 99.0. Also fatigue, headache, body aches and joint pain, shivering.Insomnia at night....sleep 2 to 4 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 21, dose 1MedDRA: Abdominal pain, Abdominal pain upper, Back pain, Fatigue, Flank pain, Nausea, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Abdominal cramping and back pain.À pain in stomach that lasts for hours.Mild nausea.Pain now in back right flank ( kidney area?)Sore throatFatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Survey response — 3 months, dose 1MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Joint painMuscle painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-31
Report sent to call center — 3 months, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-27
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-31 | Successful 2022-04-27 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Brise like broken veins since vaccination around ankles, legs, ribs, bleeding around nailbed that continued for 1 hour , these began after vaccination and not experienced before vaccination bruising and spider vein bleeding and bleeding of finger 1 hr after manicure. New to me.
Release 5 — day 14, dose 1
Symptoms: Intermittent feverthe normal for me in the am is 97.0, but in later in afternoon cheeks begin to get hot and temperaturegoes up to 98.8 to 99.0. Also fatigue, headache, body aches and joint pain, shivering.Insomnia at night....sleep 2 to 4 hrs
Release 6 — day 21, dose 1
Symptoms: Abdominal cramping and back pain.À pain in stomach that lasts for hours.Mild nausea.Pain now in back right flank ( kidney area?)Sore throatFatigue.
Release 8 — 3 months, dose 1
Symptoms: Joint painMuscle pain
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Body temperature increased | ✓ | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Flank pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ○ | ✓ | ○ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Haemorrhage | ✓ | ✓ | ✓ |
| SRO | Nail bed bleeding | ✓ | ✓ | ✓ |
| SRO | Spider vein | ✓ | ✓ | ✓ |
| SRO | Vein rupture | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release