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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

  1. 2021-02-20
    Registered in v-safe
  2. 2021-02-20
    Dose 1 — Moderna
  3. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  6. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-07
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-03-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-24
    Dose 2 — Moderna
  14. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-03-31
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-04-07
    Survey response — day 14, dose 2
    MedDRA: Headache, Pruritus — Feeling: Fair
    Free 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 before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-28
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Headache, Muscle spasms — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  23. 2021-05-05
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-03-24
    Survey response — 12 months, dose 2
    MedDRA: Adverse drug reaction, Emergency care, Heart rate increased, Loss of consciousness, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional
    Free 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 cardiologist
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-03-24
    Report sent to call center — 12 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  28. 2022-03-28
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-24Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 7 — day 14, dose 2

2021-04-07

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

2021-04-28

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

2022-03-24

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

FieldPreferred term2021-092023-042024-11
HCVOEmergency care · · ✓
HCVOOffice visit · · ✓
SDAdverse drug reaction · · ✓
SDArthralgia ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased · · ✓
SDLoss of consciousness · · ✓
SDMuscle spasms ✓ ✓ ✓
SDOffice visit · · ✓
SDPruritus ✓ ✓ ✓

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