ZSA-36825-65172
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 371 / TN
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
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2021-03-05
Dose 1 — Moderna
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-12
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2021-03-19
Survey response — day 14, dose 1MedDRA: Gastrooesophageal reflux disease, Nausea — Feeling: GoodFree text: Gastrointestinal: nausea and acid refluxMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Taste metalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — day 7, dose 2Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workAdult check-in
- 2021-04-15
- 2021-04-22
- 2021-05-01
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2021-05-06
Survey response — day 35, dose 2MedDRA: Hypoaesthesia, Paraesthesia, Vulvovaginal pain — Feeling: GoodFree text: Vaginal pain, numbness and tingling in arm from first vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-14
Survey response — day 42, dose 2MedDRA: Nerve compression, Vulvovaginal pain — Feeling: GoodFree text: Vaginal pain; pinched nerve in arm of first shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-01
Survey response — 3 months, dose 2MedDRA: Blood pressure increased, Dyspnoea, Heart rate increased, Hypoaesthesia, Malaise, Paraesthesia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Takes longer than usual to get better when sick. Easily winded when doing anything physical. Numbness and tingling in right arm down into thumb and index finger. I cant exercise due to getting winded. Faster than normal pulse. Higher blood pressurMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
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2022-04-01
Survey response — 12 months, dose 2MedDRA: Hypertension, Myalgia, Neuralgia — Feeling: Good · 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: Nerve and muscle pain and issues. High blood pressure.MedDRA releases: 2024-11 · check-in free text available
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2022-04-01
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-04-05
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-01 | Successful 2022-04-05 |
Participant prefers to complete VAERS report online |
Free text
Release 5 — day 14, dose 1
Symptoms: Gastrointestinal: nausea and acid reflux
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Taste metal
Release 8 — day 35, dose 2
Symptoms: Vaginal pain, numbness and tingling in arm from first vaccination
Release 8 — day 42, dose 2
Symptoms: Vaginal pain; pinched nerve in arm of first shot
Release 9 — 3 months, dose 2
Symptoms: Takes longer than usual to get better when sick. Easily winded when doing anything physical. Numbness and tingling in right arm down into thumb and index finger. I cant exercise due to getting winded. Faster than normal pulse. Higher blood pressur
Release 11 — 12 months, dose 2
Symptoms: Nerve and muscle pain and issues. High blood pressure.
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 | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Nerve compression | ✓ | ✓ | ✓ |
| SD | Neuralgia | · | · | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Vulvovaginal pain | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release