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ZRH-70166-40827

4 vaccinations 7 coded responses 19 check-ins 7 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
209 / MD
Registered
2021-01-15
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-01-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-28
    Dose 2 — Moderna
  6. 2021-01-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal congestion, Sneezing, Throat irritation — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: I felt stuffy nose, sneezing and itchy throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  11. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  12. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good
    Free text: Pain on my upper left arm, throbbing, in pulses for a day and it went away.The shoulder has a slight pain throught
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-11
    Survey response — day 42, dose 2
    MedDRA: Anosmia, COVID-19 — Feeling: Good
    Free text: I have noticed my sense of smell is not there. I do not smell bleach yet before COViD, I did smell it and react to its fumes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-29
    Survey response — 3 months, dose 2
    MedDRA: Hyperhidrosis, Pain — Feeling: Fair
    Free text: Body aches especially in upper arms and shoulders . This comes on in the evenings and night. I sweat more than usual and my nights are disrupted by the pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-29
    Survey response — 6 months, dose 2
    MedDRA: Dysphonia, Increased upper airway secretion, Paranasal sinus hypersecretion — Feeling: Fair
    Free text: Hoarse voice, feels like too much mucus at throat and sinus area.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-11-26
    Dose 3 — Moderna
  21. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Vaginal haemorrhage — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Knee pain , spotting blood from vagina area, not sure if from urethra or uterine.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-01-28
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  23. 2022-02-10
  24. 2022-02-15
  25. 2022-05-04
    Dose 4 — Moderna
  26. 2022-08-03
    Survey response — 3 months, dose 4
    MedDRA: Carbuncle — Feeling: Good
    Free text: Carbuncle on tummy area
    MedDRA releases: 2024-11 · check-in free text available
  27. 2023-05-04
    Health check-in — 12 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna
32021-11-26Moderna No
42022-05-04Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-01-28 Unsuccessful

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): I felt stuffy nose, sneezing and itchy throat

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Pain on my upper left arm, throbbing, in pulses for a day and it went away.The shoulder has a slight pain throught

Release 5 — day 42, dose 2

2021-03-11

Symptoms: I have noticed my sense of smell is not there. I do not smell bleach yet before COViD, I did smell it and react to its fumes.

Release 8 — 3 months, dose 2

2021-04-29

Symptoms: Body aches especially in upper arms and shoulders . This comes on in the evenings and night. I sweat more than usual and my nights are disrupted by the pain

Release 9 — 6 months, dose 2

2021-07-29

Symptoms: Hoarse voice, feels like too much mucus at throat and sinus area.

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Knee pain , spotting blood from vagina area, not sure if from urethra or uterine.

Release 12 — 3 months, dose 4

2022-08-03

Symptoms: Carbuncle on tummy area

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
SDAnosmia ✓ ✓ ✓
SDArthralgia ✓ ✓ ✓
SDCarbuncle · · ✓
SDCOVID-19 ✓ ✓ ✓
SDDysphonia ✓ · ✓
SDHyperhidrosis ✓ ✓ ✓
SDIncreased upper airway secretion ✓ · ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParanasal sinus hypersecretion ✓ · ✓
SDVaginal haemorrhage · · ✓
SRONasal congestion ✓ ✓ ✓
SROSneezing ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓

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