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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

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Survey response — day 0, dose 1
    MedDRA: Asthenopia, Fatigue — Feeling: Fair · Site: Pain · Headache
    Free text: Eyes feel heavy and tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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, Nausea
    Free text: My teeth and neck hurt as well. Legs are hurting and feeling heavy. Breast both started hurting today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: 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 activities
    Adult check-in
  6. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free 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
  7. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Adult check-in
  8. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Muscular weakness, Paraesthesia — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches
    Free 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
  9. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-02-03
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness
    Adult check-in
  11. 2021-02-09
    Survey response — day 14, dose 1
    MedDRA: Anxiety, Dizziness, Erythema, Fatigue, Injection site swelling, Skin warm — Feeling: Fair
    Free 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 still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-02-23
    Survey response — day 28, dose 1
    MedDRA: Dizziness, Erythema, Injection site mass, Unevaluable event — Feeling: Fair
    Free 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
  14. 2021-02-24
    Dose 2 — Moderna
  15. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  16. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free 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
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Headache, Joint pains
    Adult check-in
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fever · Headache
    Adult check-in
  19. 2021-08-25
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2022-02-26
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free 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 sounds
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-26
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2022-03-18
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-02-26 Successful
2022-03-18
Participant prefers to complete VAERS report online

Free text

Release 2 — day 0, dose 1

2021-01-26

Systemic reaction (other): Eyes feel heavy and tired.

Release 2 — days 1–6 daily, dose 1

2021-01-27

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

2021-01-29

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.

2021-01-31

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

2021-02-09

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

2021-02-23

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

2021-02-25

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

2022-02-26

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

FieldPreferred term2021-092023-042024-11
HCVOUnevaluable event · · ✓
SDAnxiety ✓ ✓ ✓
SDBlood prolactin increased · · ✓
SDBreast tenderness · · ✓
SDChest pain · · ✓
SDDizziness ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pain · · ✓
SDInjection site swelling ✓ ✓ ✓
SDPalpitations · · ✓
SDPituitary tumour benign · · ✓
SDSkin warm ✓ ✓ ✓
SDUnevaluable event ✓ ✓ ✓
SROAsthenopia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROLimb discomfort ✓ ✓ ✓
SROMuscular weakness ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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