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
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree 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 TylenolMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: 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 siteFree text: Lots of heavy sore and in my neck and shouldersMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Sneezing — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: I just feel like I am wore out and fatigued headaches come and go sneezing, spells no feversMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 7, dose 1MedDRA: Cough, Fatigue, Influenza like illness, Sneezing — Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Really tired, sneezing coughing flu like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-09-18
Survey response — 6 months, dose 1MedDRA: 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 visitFree 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 timesMedDRA releases: 2024-11 · check-in free text available
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2021-09-18
Report sent to call center — 6 months, dose 1Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-18 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
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
Systemic reaction (other): Lots of heavy sore and in my neck and shoulders
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
Systemic reaction (other): Really tired, sneezing coughing flu like symptoms
Release 9 — 6 months, dose 1
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Blindness | · | · | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cerebral haemorrhage | · | · | ✓ |
| SD | Cerebrovascular accident | · | · | ✓ |
| SD | Optic nerve sheath haemorrhage | · | · | ✓ |
| SD | Thrombosis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release