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ZTG-85175-47790

2 vaccinations 8 coded responses 10 check-ins 8 free-text entries 1 call case
Sex
Female
Age at first dose
41-45
ZIP prefix
482 / MI
Registered
2021-02-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Dose 1 — Moderna
  2. 2021-02-07
    Registered in v-safe
  3. 2021-02-07
    Survey response — day 7, dose 1
    MedDRA: Contusion — Feeling: Good · Site: Pain
    Free text: I have an odd line shaped bruise on my foot that appeared out of nowhere in my sleep. It is dark purple.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-19
    Survey response — day 21, dose 1
    MedDRA: Anxiety, Dizziness, Palpitations — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I feel a little panicky. Sometimes dizzy, heart racing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Report sent to call center — day 21, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-02-25
    Dose 2 — Moderna
  7. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest discomfort, Dizziness, Hyperaesthesia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sensitive to touch, chest tightness (mild), dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site haemorrhage — Feeling: Good · Site: Pain
    Free text: Some very, very minor petechiae on upper arm near injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams, Nasal congestion, Oropharyngeal pain, Palpitations, Tinnitus — Feeling: Good
    Free text: Tinnitus (mild), odd dreams, racing heart in sleep, stuffy nose, sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site haemorrhage — Feeling: Good
    Free text: Very minor petichae near injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling — Feeling: Fair
    Free text: I have swelling in hands and feet mainly, and really all over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-06
    Survey response — day 7, dose 2
    MedDRA: Abnormal menstrual clots — Feeling: Good
    Free text: Thick, sticky, black menstruation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-10
  16. 2021-09-07
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-25Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-02-19 Successful
2021-09-07
 Participant prefers to complete VAERS report online

Free text

Release 3 — day 7, dose 1

2021-02-07

Systemic reaction (other): I have an odd line shaped bruise on my foot that appeared out of nowhere in my sleep. It is dark purple.

Release 4 — day 21, dose 1

2021-02-19

Symptoms: I feel a little panicky. Sometimes dizzy, heart racing.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Sensitive to touch, chest tightness (mild), dizzy

2021-02-27

Systemic reaction (other): Some very, very minor petechiae on upper arm near injection site.

2021-02-28

Systemic reaction (other): Tinnitus (mild), odd dreams, racing heart in sleep, stuffy nose, sore throat

2021-03-02

Systemic reaction (other): Very minor petichae near injection site

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): I have swelling in hands and feet mainly, and really all over.

Release 5 — day 7, dose 2

2021-03-06

Systemic reaction (other): Thick, sticky, black menstruation

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
SDAnxiety ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SROAbnormal dreams ✓ ✓ ✓
SROAbnormal menstrual clots ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHyperaesthesia ✓ ✓ ✓
SROInjection site haemorrhage ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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

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