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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

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-19
    Survey response — day 14, dose 1
    MedDRA: Gastrooesophageal reflux disease, Nausea — Feeling: Good
    Free text: Gastrointestinal: nausea and acid reflux
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-01
    Dose 2 — Moderna
  12. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  13. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Taste metal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work
    Adult check-in
  16. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-06
    Survey response — day 35, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia, Vulvovaginal pain — Feeling: Good
    Free text: Vaginal pain, numbness and tingling in arm from first vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-14
    Survey response — day 42, dose 2
    MedDRA: Nerve compression, Vulvovaginal pain — Feeling: Good
    Free text: Vaginal pain; pinched nerve in arm of first shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-07-01
    Survey response — 3 months, dose 2
    MedDRA: Blood pressure increased, Dyspnoea, Heart rate increased, Hypoaesthesia, Malaise, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities
    Free 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 pressur
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-09-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-01
    Survey response — 12 months, dose 2
    MedDRA: 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 visit
    Free text: Nerve and muscle pain and issues. High blood pressure.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-01
    Report sent to call center — 12 months, dose 2
    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 visit · 1 call case(s)
  25. 2022-04-05
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-01Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-04-01 Successful
2022-04-05
Participant prefers to complete VAERS report online

Free text

Release 5 — day 14, dose 1

2021-03-19

Symptoms: Gastrointestinal: nausea and acid reflux

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Taste metal

Release 8 — day 35, dose 2

2021-05-06

Symptoms: Vaginal pain, numbness and tingling in arm from first vaccination

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Vaginal pain; pinched nerve in arm of first shot

Release 9 — 3 months, dose 2

2021-07-01

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

2022-04-01

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

FieldPreferred term2021-092023-042024-11
SDBlood pressure increased ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDHypertension · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMyalgia · · ✓
SDNausea ✓ ✓ ✓
SDNerve compression ✓ ✓ ✓
SDNeuralgia · · ✓
SDParaesthesia ✓ ✓ ✓
SDVulvovaginal pain ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓

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