ZS8-33268-61205
2 vaccinations
8 coded responses
17 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 087 / NJ
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-26
Registered in v-safe
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2021-01-26
Dose 1 — Moderna
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2021-01-26
Survey response — day 0, dose 1MedDRA: Asthenopia, Fatigue — Feeling: Fair · Site: Pain · HeadacheFree text: Eyes feel heavy and tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Breast pain, Limb discomfort, Neck pain, Pain in extremity, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: My teeth and neck hurt as well. Legs are hurting and feeling heavy. Breast both started hurting todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Head discomfort, Muscular weakness, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Severe dizziness where I actually thought I was going to pass out. Legs still hurt and feel weak. Head and jaw pressure during dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Muscular weakness, Paraesthesia — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body achesFree text: I get a electric sensation in my right ankle and my legs feel very weak and tired ever since the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-03
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessAdult check-in
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2021-02-09
Survey response — day 14, dose 1MedDRA: Anxiety, Dizziness, Erythema, Fatigue, Injection site swelling, Skin warm — Feeling: FairFree text: Exhausted. Arm was red hot and swollen all around the injection site. Its been 14 days and it still has never went away. I feel anxious a lot and also dizzy on and off stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
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2021-02-23
Survey response — day 28, dose 1MedDRA: Dizziness, Erythema, Injection site mass, Unevaluable event — Feeling: FairFree text: My arm stayed like a big red spot up until a few days ago. It still feels like I have a lump under the skin and I think my injection was given too low. Had some dizzy spells on and off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Eye pain, Facial pain, Muscular weakness, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Legs feel weak, face hurt in cheek area, eyes ache, hands hurt really bad, right below my under arms hurts.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Headache, Joint painsAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fever · HeadacheAdult check-in
- 2021-08-25
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2022-02-26
Survey response — 12 months, dose 2MedDRA: Anxiety, Blood prolactin increased, Breast tenderness, Chest pain, Dizziness, Headache, Injection site pain, Palpitations, Pituitary tumour benign, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Heart palpitations, and I now have high prolactin and a microadenoma on my pituitary gland. Dizziness, headaches more frequently. Higher anxiety, chest pain, breast tenderness, arm pain where I had my injection on and off. · Healthcare visit (other): I've had a MRI, mammograms, ultra soundsMedDRA releases: 2024-11 · check-in free text available
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2022-02-26
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-18
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-26 | Successful 2022-03-18 |
Participant prefers to complete VAERS report online |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Eyes feel heavy and tired.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): My teeth and neck hurt as well. Legs are hurting and feeling heavy. Breast both started hurting today
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Severe dizziness where I actually thought I was going to pass out. Legs still hurt and feel weak. Head and jaw pressure during dizziness.
Systemic reaction (other): I get a electric sensation in my right ankle and my legs feel very weak and tired ever since the vaccine.
Release 3 — day 14, dose 1
Symptoms: Exhausted. Arm was red hot and swollen all around the injection site. Its been 14 days and it still has never went away. I feel anxious a lot and also dizzy on and off still
Release 4 — day 28, dose 1
Symptoms: My arm stayed like a big red spot up until a few days ago. It still feels like I have a lump under the skin and I think my injection was given too low. Had some dizzy spells on and off.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Legs feel weak, face hurt in cheek area, eyes ache, hands hurt really bad, right below my under arms hurts.
Release 11 — 12 months, dose 2
Symptoms: Heart palpitations, and I now have high prolactin and a microadenoma on my pituitary gland. Dizziness, headaches more frequently. Higher anxiety, chest pain, breast tenderness, arm pain where I had my injection on and off.
Healthcare visit (other): I've had a MRI, mammograms, ultra sounds
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Blood prolactin increased | · | · | ✓ |
| SD | Breast tenderness | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site mass | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pituitary tumour benign | · | · | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Asthenopia | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Facial pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Muscular weakness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release