ZRQ-11789-45494
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 025 / MA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-02-24
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
-
2021-03-31
Survey response — day 7, dose 2MedDRA: Malaise — Feeling: Good · Site: Pain, SwellingFree text: The day after I got my second dose I was very very sick and saw all over for five daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
-
2021-04-21
Survey response — day 28, dose 2MedDRA: Constipation, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Constipation and Still fatiguedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-05-05
- 2021-06-23
-
2021-09-22
Survey response — 6 months, dose 2MedDRA: Asthenia, Crohn's disease, Hypertension, Transient ischaemic attack — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ive developed Crohns disease. I have experienced a TIA and Im weak. Blood pressures been high.MedDRA releases: 2024-11 · check-in free text available
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2022-03-24
Survey response — 12 months, dose 2MedDRA: Adverse reaction, Dysphagia, Dyspnoea, Flatulence, Office visit, Retching — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: After getting a Mederna Booster I had a dry heaves over three hours and couldn't breathe! I now have the big gas problem in my throat where I have to force myself to breathe so I can breathe, Problems swallowing, and other health problems · Healthcare visit (other): My own doctors officesMedDRA releases: 2024-11 · check-in free text available
-
2022-03-24
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
-
2022-03-28
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-24 | Successful 2022-03-28 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 7, dose 2
Systemic reaction (other): The day after I got my second dose I was very very sick and saw all over for five days
Release 7 — day 28, dose 2
Symptoms: Constipation and Still fatigued
Release 9 — 6 months, dose 2
Symptoms: Ive developed Crohns disease. I have experienced a TIA and Im weak. Blood pressures been high.
Release 11 — 12 months, dose 2
Symptoms: After getting a Mederna Booster I had a dry heaves over three hours and couldn't breathe! I now have the big gas problem in my throat where I have to force myself to breathe so I can breathe, Problems swallowing, and other health problems
Healthcare visit (other): My own doctors offices
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 | Adverse reaction | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Constipation | ✓ | ✓ | ✓ |
| SD | Crohn's disease | · | · | ✓ |
| SD | Dysphagia | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Retching | · | · | ✓ |
| SD | Transient ischaemic attack | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release