ZS4-25266-93745
4 vaccinations
9 coded responses
48 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 286 / NC
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-30
Registered in v-safe
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2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: General itchinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Sciatic nerve injury — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activitiesFree text: My sciatic nerve seems to be inflamed todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Some lightheadedness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-13
- 2021-04-20
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2021-04-26
Dose 2 — Moderna
- 2021-04-26
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-30
- 2021-05-01
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
- 2021-05-10
- 2021-05-19
- 2021-05-25
- 2021-05-31
- 2021-06-09
- 2021-07-26
- 2021-10-25
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2021-12-20
Dose 3 — Moderna
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2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Yesterday evening a lymph node on the left side of my jaw was swollen and tender.MedDRA releases: 2024-11 · check-in free text available
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2021-12-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-12-28
Health check-in — day 7, dose 3Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-04
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2022-01-12
Survey response — day 21, dose 3MedDRA: Back pain, Musculoskeletal stiffness, Unevaluable event — 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 professionalFree text: Symptoms: I'm experiencing pain and stiffness in the muscles of my back. · Healthcare visit (other): Phone call with my doctor to get a prescriptionMedDRA releases: 2024-11 · check-in free text available
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2022-01-12
Report sent to call center — day 21, dose 3Be 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)
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2022-01-17
Call successfulCompleted over the phone
- 2022-01-24
- 2022-02-02
- 2022-03-25
- 2022-06-22
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2022-10-19
Dose 4 — Moderna
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2022-10-19
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend schoolAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-10-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches · Be unable to work or attend schoolAdult check-in
- 2022-10-22
- 2022-10-23
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2022-10-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Fatigue or tiredness · Be unable to work or attend schoolFree text: Swollen lymph nodeMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — day 7, dose 4MedDRA: Lymphadenopathy, Rhinorrhoea — Feeling: GoodFree text: Swollen lymph nodes, runny nose.MedDRA releases: 2024-11 · check-in free text available
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2022-11-10
Survey response — day 21, dose 4MedDRA: Loss of personal independence in daily activities, Muscle spasms — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Had a severe muscle spasm in my back. Which has caused me to be out of commission for several days.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-23
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2022-11-30
Survey response — day 42, dose 4MedDRA: Fatigue, Myalgia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore muscles, worsening fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-12 | Successful 2022-01-17 |
Completed over the phone |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): General itchiness
Systemic reaction (other): My sciatic nerve seems to be inflamed today
Systemic reaction (other): Some lightheadedness.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday evening a lymph node on the left side of my jaw was swollen and tender.
Release 10 — day 21, dose 3
Symptoms: I'm experiencing pain and stiffness in the muscles of my back.
Healthcare visit (other): Phone call with my doctor to get a prescription
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node
Release 12 — day 7, dose 4
Systemic reaction (other): Swollen lymph nodes, runny nose.
Release 12 — day 21, dose 4
Symptoms: Had a severe muscle spasm in my back. Which has caused me to be out of commission for several days.
Release 12 — day 42, dose 4
Symptoms: Sore muscles, worsening fatigue.
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 | Unevaluable event | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Muscle spasms | · | · | ✓ |
| SD | Musculoskeletal stiffness | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sciatic nerve injury | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release