ZRM-36434-25255
1 vaccination
10 coded responses
10 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 013 / MA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-21
Dose 1 — Moderna
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2021-04-23
Registered in v-safe
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2021-04-23
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia, Swollen tongue — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: My tongue swelled , have a weird taste on my tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Headache, Myalgia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I feel horrible, muscle aches, weakness, headache, I feel worse than the first 24 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Headache, Myalgia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: A lot of muscle aches and weakness and severe head pressure on back of headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose abnormal, Diabetes mellitus, Pre-existing disease — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Im a diabetic and my blood sugars have been running between 200 and 300 since I had the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose abnormal, Blood glucose increased, Diabetes mellitus, Dysgeusia, Muscular weakness, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Im a Diabetic and sense my first shot my blood sugars have been high and hard to control and I have a very bad taste in my mouth , severe muscle weakness . Im not taking the second shot !!!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 7, dose 1MedDRA: Blood glucose increased, Pre-existing disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workFree text: My blood sugars have been high sense my 1 st and only Moderna shot . I have been taking my insulin to make it go down , has been difficult which is highly concerning due to my age and I do not want complications with my kidbeys or my liver and heart . Its horrible!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — day 14, dose 1MedDRA: Dysphagia, Lymphadenopathy, Muscle discomfort — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Lymph nodes are swollen, on my left side with problem with arm and left side, muscle , swallowingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Survey response — day 21, dose 1MedDRA: Dehydration, Headache, Muscular weakness, Pain in extremity, Visual impairment — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Left arm pain is getting worse sense the merger a shot , as well as severe muscle weakness , dehydration, problem with my vision in both eyes sense merderna shot never had a problem before shot !!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 35, dose 1MedDRA: Unevaluable event — 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 consultationFree text: I keep explaining to you about this but getting no responseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Report sent to call center — day 35, 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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2021-06-02
Survey response — day 42, dose 1MedDRA: Muscular weakness, Office visit, Pain in extremity — 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 consultationFree text: Symptoms: As I keep explaining, my doctor doesnt not want me to get second merderna shot due to my muscle weakness symptoms and left arm pain sense first shot as well as other symptoms I never had until that first merderna shot ! But no one and I mean no on · Healthcare visit (other): Went in to see doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-02
Report sent to call center — day 42, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-21 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-26 | Unsuccessful | |
| 2021-06-02 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My tongue swelled , have a weird taste on my tongue
Systemic reaction (other): I feel horrible, muscle aches, weakness, headache, I feel worse than the first 24 hrs
Systemic reaction (other): A lot of muscle aches and weakness and severe head pressure on back of head
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Im a diabetic and my blood sugars have been running between 200 and 300 since I had the shot
Systemic reaction (other): Im a Diabetic and sense my first shot my blood sugars have been high and hard to control and I have a very bad taste in my mouth , severe muscle weakness . Im not taking the second shot !!!
Release 8 — day 7, dose 1
Systemic reaction (other): My blood sugars have been high sense my 1 st and only Moderna shot . I have been taking my insulin to make it go down , has been difficult which is highly concerning due to my age and I do not want complications with my kidbeys or my liver and heart . Its horrible!
Release 8 — day 14, dose 1
Symptoms: Lymph nodes are swollen, on my left side with problem with arm and left side, muscle , swallowing
Release 8 — day 21, dose 1
Symptoms: Left arm pain is getting worse sense the merger a shot , as well as severe muscle weakness , dehydration, problem with my vision in both eyes sense merderna shot never had a problem before shot !!
Release 8 — day 35, dose 1
Symptoms: I keep explaining to you about this but getting no response
Release 8 — day 42, dose 1
Symptoms: As I keep explaining, my doctor doesnt not want me to get second merderna shot due to my muscle weakness symptoms and left arm pain sense first shot as well as other symptoms I never had until that first merderna shot ! But no one and I mean no on
Healthcare visit (other): Went in to see doctor
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Muscle discomfort | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Visual impairment | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Blood glucose abnormal | ✓ | ✓ | ✓ |
| SRO | Blood glucose increased | ✓ | ✓ | ✓ |
| SRO | Diabetes mellitus | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Swollen tongue | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release