ZRJ-99494-32371
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 785 / TX
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-22
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
-
2021-02-19
Dose 2 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Sluggishness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feel very sluggish.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Abdominal pain · Be unable to do your normal daily activitiesFree text: Monday I had a severe case of acid reflux and today again but not as severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 7, dose 2MedDRA: Abdominal pain upper, Chest pain, Constipation, Gastrooesophageal reflux disease, Medical counselling — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Besides acid reflux, Ive been constipated for days. · Healthcare visit (other): I called my doctors office for medication for acid reflux when I had sharp chest pain in the stomach.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Report sent to call center — day 7, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-05
- 2021-03-15
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2021-03-22
Survey response — day 28, dose 2MedDRA: Abdominal pain upper, Asthenia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Low energy and stomach cramps.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-04-04
- 2021-05-23
- 2021-09-08
- 2021-09-13
- 2021-09-13
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2022-02-19
Survey response — 12 months, dose 2MedDRA: Office visit, Pulmonary function test abnormal, Respiratory disorder — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Saw my lung specialist for breathing problems. A lung test came back not acceptable so I just had another test done yesterday to check for blood clots. Don't have results yet. · Healthcare visit (other): Doctors visitMedDRA releases: 2024-11 · check-in free text available
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2022-02-19
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-02-22
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-26 | Successful | Participant prefers to complete VAERS report online |
| 2022-02-19 | Successful 2022-02-22 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Feel very sluggish.
Systemic reaction (other): Monday I had a severe case of acid reflux and today again but not as severe.
Release 4 — day 7, dose 2
Systemic reaction (other): Besides acid reflux, Ive been constipated for days.
Healthcare visit (other): I called my doctors office for medication for acid reflux when I had sharp chest pain in the stomach.
Release 6 — day 28, dose 2
Symptoms: Low energy and stomach cramps.
Release 11 — 12 months, dose 2
Symptoms: Saw my lung specialist for breathing problems. A lung test came back not acceptable so I just had another test done yesterday to check for blood clots. Don't have results yet.
Healthcare visit (other): Doctors visit
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 |
|---|---|---|---|---|
| HCVO | Abdominal pain upper | ✓ | ✓ | ✓ |
| HCVO | Chest pain | ✓ | ✓ | ✓ |
| HCVO | Medical counselling | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pulmonary function test abnormal | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release