ZVZ-20641-69447
4 vaccinations
14 coded responses
46 check-ins
10 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 088 / NJ
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
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2021-01-23
Registered in v-safe
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2021-01-23
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-26
- 2021-02-03
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2021-02-09
Dose 2 — Moderna
- 2021-02-09
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-02-16
- 2021-02-23
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2021-03-02
Survey response — day 21, dose 2MedDRA: Vomiting — Feeling: Good · Be unable to workFree text: Vomited 3/1.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
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2021-03-23
Survey response — day 42, dose 2MedDRA: Arthralgia, Headache — Feeling: FairFree text: Headache & shoulder painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
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2021-08-10
Survey response — 6 months, dose 2MedDRA: Herpes zoster — 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 visitFree text: ShinglesMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-10
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
- 2021-08-19
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2021-08-19
Callback requested for05:00PM ET
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2021-08-19
Call successfulCompleted over the phone
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2021-11-03
Dose 3 — Moderna
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · DiarrheaAdult check-in
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair · Site: Pain, Swelling, Itching · DiarrheaFree text: Runny/stuffy noseMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Rhinorrhoea — Feeling: Good · Site: Pain, Swelling, Itching · DiarrheaFree text: Runny nose, slight coughMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Survey response — days 1–6 daily, dose 3MedDRA: Rhinorrhoea — Feeling: Good · Site: ItchingFree text: Runny noseMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-17
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2021-11-24
Survey response — day 21, dose 3MedDRA: Cough, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: New cough, sneezing, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-08
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2021-12-15
Survey response — day 42, dose 3MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cough & congestionMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Survey response — 3 months, dose 3MedDRA: COVID-19, Cough, Fatigue, Pain, Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, Sinus pain — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had Covid - coughing, congestion, sinus pressure/pain, fever, fatigue, achyMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-04
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2022-11-03
Survey response — 12 months, dose 3MedDRA: COVID-19, Herpes zoster, Hypersensitivity, Hypoaesthesia, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: -I had Covid again and Shingles again. -Part of my leg has been numb for over 2 weeks. -Also, I had what I think was food poisoning last week that made me really sick. -I also have allergies now that I never had before having Covid the first time.MedDRA releases: 2024-11 · check-in free text available
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2022-11-03
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-11-04
Call successfulCompleted over the phone
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2022-11-04
Call successfulCompleted over the phone
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2023-01-25
Dose 4 — Moderna
- 2023-01-25
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2023-01-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2023-01-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2023-01-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, DiarrheaAdult check-in
- 2023-01-29
- 2023-01-30
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2023-01-31
Survey response — days 1–6 daily, dose 4MedDRA: Rhinorrhoea, Sneezing — Feeling: Fair · Site: ItchingMedDRA releases: 2024-11
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2023-02-01
Survey response — day 7, dose 4MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodMedDRA releases: 2024-11
- 2023-02-08
- 2023-02-15
- 2023-02-22
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2023-03-01
Survey response — day 35, dose 4MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
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2023-03-08
Survey response — day 42, dose 4MedDRA: Cough, Fatigue, Headache, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2023-01-25 | Moderna | No |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 3
Free text
Release 4 — day 21, dose 2
Symptoms: Vomited 3/1.
Release 6 — day 42, dose 2
Symptoms: Headache & shoulder pain
Release 9 — 6 months, dose 2
Symptoms: Shingles
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Runny/stuffy nose
Systemic reaction (other): Runny nose, slight cough
Systemic reaction (other): Runny nose
Release 10 — day 21, dose 3
Symptoms: New cough, sneezing, runny nose, congestion
Release 10 — day 42, dose 3
Symptoms: Cough & congestion
Release 11 — 3 months, dose 3
Symptoms: I had Covid - coughing, congestion, sinus pressure/pain, fever, fatigue, achy
Release 12 — 12 months, dose 3
Symptoms: -I had Covid again and Shingles again. -Part of my leg has been numb for over 2 weeks. -Also, I had what I think was food poisoning last week that made me really sick. -I also have allergies now that I never had before having Covid the first time.
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 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Herpes zoster | ✓ | · | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Hypoaesthesia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release