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ZRQ-56659-32935

1 vaccination 5 coded responses 7 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
640 / MO
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Myalgia, Neck pain, Pain in extremity, Self-medication — Feeling: Fair · Site: Swelling · Fever · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Lots of muscle pain and soreness in neck and whole right arm up into neck and down back. I am on Stelera biological treatments i have taken Tylenol
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Neck pain — Feeling: Fair · Site: Redness, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Lots of heavy sore and in my neck and shoulders
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  7. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Headache, Sneezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: I just feel like I am wore out and fatigued headaches come and go sneezing, spells no fevers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-25
    Survey response — day 7, dose 1
    MedDRA: Cough, Fatigue, Influenza like illness, Sneezing — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Free text: Really tired, sneezing coughing flu like symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-09-18
    Survey response — 6 months, dose 1
    MedDRA: Blindness, Cardiac disorder, Cerebral haemorrhage, Cerebrovascular accident, Optic nerve sheath haemorrhage, Thrombosis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    Free text: Ive had so many health issues, blood clots, loss my visoion, have several hemorrhages in left side of brain and optic nerve, now stroke, damage to heart been very tough times
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-09-18
    Report sent to call center — 6 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  11. 2021-09-21

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-09-18 Unsuccessful

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): Lots of muscle pain and soreness in neck and whole right arm up into neck and down back. I am on Stelera biological treatments i have taken Tylenol

2021-03-20

Systemic reaction (other): Lots of heavy sore and in my neck and shoulders

2021-03-23

Systemic reaction (other): I just feel like I am wore out and fatigued headaches come and go sneezing, spells no fevers

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): Really tired, sneezing coughing flu like symptoms

Release 9 — 6 months, dose 1

2021-09-18

Symptoms: Ive had so many health issues, blood clots, loss my visoion, have several hemorrhages in left side of brain and optic nerve, now stroke, damage to heart been very tough times

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
SDBlindness · · ✓
SDCardiac disorder · · ✓
SDCerebral haemorrhage · · ✓
SDCerebrovascular accident · · ✓
SDOptic nerve sheath haemorrhage · · ✓
SDThrombosis · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInfluenza like illness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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