ZU7-29993-53566
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 773 / TX
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Registered in v-safe
-
2021-02-20
Dose 1 — Moderna
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-03-22
-
2021-03-24
Dose 2 — Moderna
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-31
-
2021-04-07
Survey response — day 14, dose 2MedDRA: Headache, Pruritus — Feeling: FairFree text: Headaches continue and now Im experiencing an an itching sensation on my arms, back, torso and head. Not as much on my legs. No actual rash and no swelling. Maybe just a reaction to the pollen but I have never experienced anything like this beforeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
-
2021-04-28
Survey response — day 35, dose 2MedDRA: Arthralgia, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Headaches have returned but are mild and I have realized that I am experiencing joint pain fairly regularly and lower leg cramps occasionally. The joint pain was bad enough in my hips one day I couldnt walk more than three blocks without stopping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2022-03-24
Survey response — 12 months, dose 2MedDRA: Adverse drug reaction, Emergency care, Heart rate increased, Loss of consciousness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I passed out at a football game 9- 2020. Heart rate elevated, I wasn't perspiring, & wasn't thirsty. Drs determined it was a side effect of my migraine medication. I had a similar feeling last weekend but recognized it early and didn't pass out. · Healthcare visit (other): EMT treated and monitored at the football game, I then had follow up appointments with my neurologist and cardiologistMedDRA releases: 2024-11 · check-in free text available
-
2022-03-24
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2022-03-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 14, dose 2
Symptoms: Headaches continue and now Im experiencing an an itching sensation on my arms, back, torso and head. Not as much on my legs. No actual rash and no swelling. Maybe just a reaction to the pollen but I have never experienced anything like this before
Release 8 — day 35, dose 2
Symptoms: Headaches have returned but are mild and I have realized that I am experiencing joint pain fairly regularly and lower leg cramps occasionally. The joint pain was bad enough in my hips one day I couldnt walk more than three blocks without stopping.
Release 11 — 12 months, dose 2
Symptoms: I passed out at a football game 9- 2020. Heart rate elevated, I wasn't perspiring, & wasn't thirsty. Drs determined it was a side effect of my migraine medication. I had a similar feeling last weekend but recognized it early and didn't pass out.
Healthcare visit (other): EMT treated and monitored at the football game, I then had follow up appointments with my neurologist and cardiologist
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 | Emergency care | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Adverse drug reaction | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release