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ZUP-13178-47790

1 vaccination 4 coded responses 16 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
453 / OH
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Survey response — day 0, dose 1
    MedDRA: Dysphagia, Swollen tongue — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Swelling of tongue and difficulty swallowing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-03-18
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  15. 2021-03-25
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-05-13
    Survey response — 3 months, dose 1
    MedDRA: Arthralgia, Joint swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Joint pain and swelling
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-12
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Fatigue, Joint swelling, Office visit, Peripheral swelling — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: About a month after my Moderna vaccine I began to experience joint pain. A month after that I started to have swelling in my fingers, wrists, toes, ankles and knees and extreme fatigue daily. I am being referred to a Rheumatologist to figure this out · Healthcare visit (other): PCP and Orthopedic
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-08-12
    Report sent to call center — 6 months, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  19. 2021-08-19
  20. 2022-02-11
    Survey response — 12 months, dose 1
    MedDRA: Arthralgia, Arthritis, Cervical cyst, Eye inflammation, Fatigue, Heart rate increased, Office visit, Palpitations — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Eye inflammation, joint pain and inflammation, extreme fatigue, high resting heart rate, heart palpitations, cysts on cervix · Healthcare visit (other): Family doctor, referrals to specialists
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-11
    Report sent to call center — 12 months, dose 1
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    1 call case(s)
  22. 2022-02-14
  23. 2022-02-15
    Call successful
    Completed over the phone

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna

Call center

2 call center cases

2 successful

VAERS report filed, before or during a call: 2

See the call center timeline

Free text

Release 4 — day 0, dose 1

2021-02-11

Systemic reaction (other): Swelling of tongue and difficulty swallowing

Release 8 — 3 months, dose 1

2021-05-13

Symptoms: Joint pain and swelling

Release 9 — 6 months, dose 1

2021-08-12

Symptoms: About a month after my Moderna vaccine I began to experience joint pain. A month after that I started to have swelling in my fingers, wrists, toes, ankles and knees and extreme fatigue daily. I am being referred to a Rheumatologist to figure this out cut off by CDC
Healthcare visit (other): PCP and Orthopedic

Release 11 — 12 months, dose 1

2022-02-11

Symptoms: Eye inflammation, joint pain and inflammation, extreme fatigue, high resting heart rate, heart palpitations, cysts on cervix
Healthcare visit (other): Family doctor, referrals to specialists

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
HCVOOffice visit ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDArthritis · · ✓
SDCervical cyst · · ✓
SDEye inflammation · · ✓
SDFatigue ✓ · ✓
SDHeart rate increased · · ✓
SDJoint swelling ✓ ✓ ✓
SDPalpitations · · ✓
SDPeripheral swelling ✓ · ✓
SRODysphagia ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓

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