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ZRS-75067-76065

4 vaccinations 8 coded responses 37 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
895 / NV
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-23
    Survey response — day 7, dose 1
    MedDRA: Feeling hot, Swelling — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Swelling is hot to touch. Started on 2/18 and still present. On injected upper arm-shoulder nearly to elbow.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Erythema — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Red area on arm has expanded. I thought ir was diminishing but it increased overnight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-24
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-10
    Dose 2 — Moderna
  8. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches
    Adult check-in
  10. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle spasms — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Free text: Muscle cramping
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Rash, Swelling, Vaccine positive rechallenge — Feeling: Fair · Site: Redness, Swelling, Itching
    Free text: I think the rash is resolving. Not lasting as long as the first time. It's not as swollen and the itch isn't as intense.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  14. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  15. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-09
    Survey response — 3 months, dose 2
    MedDRA: Gastric disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Some new gastric issues. Not sure related to vaccine though. Could just be age.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-09
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  22. 2021-06-16
    Call successful
    Participant prefers to complete VAERS report online
  23. 2021-09-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-29
    Dose 3 — Moderna
  25. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  27. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  28. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-07
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-04-18
    Dose 4 — Moderna
  38. 2022-04-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Adverse reaction, Oral herpes, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: These symptoms were on the day following the booster. They lasted for 2 days. I did also get a cold sore after a few days. This happened followinf the 1sr booster as well. I have had the shibgles vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-04-25
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  40. 2022-05-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-07-18
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-04-18
    Survey response — 12 months, dose 4
    MedDRA: Diarrhoea, Gastrointestinal disorder, Pyrexia, Vomiting — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna
32021-10-29Moderna No
42022-04-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-24 Successful Participant prefers to complete VAERS report online
2021-06-09 Successful
2021-06-16
Participant prefers to complete VAERS report online

Free text

Release 4 — day 7, dose 1

2021-02-23

Systemic reaction (other): Swelling is hot to touch. Started on 2/18 and still present. On injected upper arm-shoulder nearly to elbow.

Release 4 — day 14, dose 1

2021-02-24

Symptoms: Red area on arm has expanded. I thought ir was diminishing but it increased overnight.

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Muscle cramping

2021-03-14

Systemic reaction (other): I think the rash is resolving. Not lasting as long as the first time. It's not as swollen and the itch isn't as intense.

Release 9 — 3 months, dose 2

2021-06-09

Symptoms: Some new gastric issues. Not sure related to vaccine though. Could just be age.

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): No

Release 11 — days 1–6 daily, dose 4

2022-04-24

Systemic reaction (other): These symptoms were on the day following the booster. They lasted for 2 days. I did also get a cold sore after a few days. This happened followinf the 1sr booster as well. I have had the shibgles vaccine.

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
SDDiarrhoea · · ✓
SDErythema ✓ ✓ ✓
SDGastric disorder ✓ ✓ ✓
SDGastrointestinal disorder · · ✓
SDPyrexia · · ✓
SDVomiting · · ✓
SROAdverse reaction · · ✓
SROFeeling hot ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SRONo adverse event · · ✓
SROOral herpes · · ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROReaction to previous exposure to any vaccine · · ✓
SROSwelling ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓

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