ZRB-33281-42491
4 vaccinations
5 coded responses
56 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 011 / MA
- 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
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: My arm is sore where shot was given feels bruisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: My arm where shot was given is very soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-10
-
2021-04-17
Survey response — day 21, dose 1MedDRA: Emergency care, Hypertension — Feeling: Fair · 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 visit, Emergency room or emergency department visitFree text: High blood pressure 185/128 had to go to emergency room got put on blood pressure medicationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-24
Dose 2 — Moderna
-
2021-04-24
Survey response — day 0, dose 2MedDRA: Anxiety — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: AnxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-05-01
Survey response — day 7, dose 2MedDRA: Mobility decreased, Pain in extremity, Vaccine positive rechallenge — Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessFree text: My other arm where I didnt get the injection is sore now and I have trouble raising it up, this happened to with the first dose its strange, it did go away about a month after first dose, but now its happening again same time frame a wk aftr 2 dosMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-23
-
2021-11-12
Dose 3 — Moderna
- 2021-11-12
-
2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-16
-
2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-11-18
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-22
- 2021-12-24
- 2022-02-11
- 2022-05-13
-
2022-11-12
Dose 4 — Moderna
- 2022-11-12
- 2022-11-12
-
2022-11-13
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-15
- 2022-11-16
-
2022-11-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-18
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2022-12-17
- 2022-12-24
- 2023-02-11
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-11-12 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-17 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My arm is sore where shot was given feels bruised
Systemic reaction (other): My arm where shot was given is very sore
Release 7 — day 21, dose 1
Symptoms: High blood pressure 185/128 had to go to emergency room got put on blood pressure medication
Release 7 — day 0, dose 2
Systemic reaction (other): Anxiety
Release 8 — day 7, dose 2
Systemic reaction (other): My other arm where I didnt get the injection is sore now and I have trouble raising it up, this happened to with the first dose its strange, it did go away about a month after first dose, but now its happening again same time frame a wk aftr 2 dos
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 | Emergency care | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release