ZWR-31905-04046
2 vaccinations
14 coded responses
26 check-ins
14 free-text entries
6 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-10
Registered in v-safe
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2021-03-10
Dose 1 — Moderna
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2021-03-10
Survey response — day 0, dose 1MedDRA: Dizziness, Flushing, Limb discomfort, Medical observation, Paraesthesia — Feeling: Fair · Fatigue or tiredness, Nausea · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Systemic reaction (other): Injection arm felt heavy and tingling. My face flushed and i had to lie down to keep from passing out. · Healthcare visit (other): FNP from the sponsoring clinic monitored me for about half an hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Very stiff and painful neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Redness, Itching · Joint pains, Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Joint pains, Fatigue or tirednessAdult check-in
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Redness · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-17
Health check-in — day 7, dose 1Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-24
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site bruising — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme fatigueI still have a bruise at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — day 21, dose 1MedDRA: Arthralgia, Condition aggravated, Fatigue, Headache, Laboratory test, Myalgia, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Fatigue, headache, muscle and joint pain...lupis flair? · Healthcare visit (other): LabworkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Report sent to call center — day 21, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-07
Dose 2 — Moderna
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2021-04-07
Survey response — day 0, dose 2MedDRA: Dizziness, Flushing, Medical observation — Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Flushed face, light headed, · Healthcare visit (other): Fnp monitored my vitals for 30 minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — day 0, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Joint pains, Fatigue or tirednessAdult check-in
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Good · Site: Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Mid back pain on left side,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Back pain — Feeling: Fair · Site: Redness · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Pain in both sides of lower mid backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — day 7, dose 2Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-21
Survey response — day 14, dose 2MedDRA: Arthralgia, Migraine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: MigraineIncreased joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 21, dose 2MedDRA: Abdominal pain, Pain — Feeling: Fair · 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: Burning pain in left flank that radiates to left abdomen. Comes and goesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-05-05
Survey response — day 28, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Intense headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-19
- 2021-07-07
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Aspartate aminotransferase increased, Asthenia, Differential white blood cell count abnormal, Fatigue, Headache, Myalgia, Pruritus, White blood cell count decreased — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Severe fatigue Low WBC Abnormal differential High AST and AST Severe itching Headache Muscle pain and weaknessMedDRA releases: 2024-11 · check-in free text available
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2021-10-06
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2021-10-07
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2022-04-07
Survey response — 12 months, dose 2MedDRA: Arthralgia, Back pain, Headache, Myalgia, Office visit — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Muscle pain, joint pain, headaches, back pain, · Healthcare visit (other): SurgicenterMedDRA releases: 2024-11 · check-in free text available
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2022-04-07
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-11
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
6 call center cases
6 successful
VAERS report filed, before or during a call: 1
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Injection arm felt heavy and tingling. My face flushed and i had to lie down to keep from passing out.
Healthcare visit (other): FNP from the sponsoring clinic monitored me for about half an hour.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Very stiff and painful neck
Systemic reaction (other): No
Release 6 — day 14, dose 1
Symptoms: Extreme fatigueI still have a bruise at the injection site
Release 6 — day 21, dose 1
Symptoms: Fatigue, headache, muscle and joint pain...lupis flair?
Healthcare visit (other): Labwork
Release 7 — day 0, dose 2
Systemic reaction (other): Flushed face, light headed,
Healthcare visit (other): Fnp monitored my vitals for 30 minutes
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Stiff neck
Systemic reaction (other): Mid back pain on left side,
Systemic reaction (other): Pain in both sides of lower mid back
Release 7 — day 14, dose 2
Symptoms: MigraineIncreased joint pain
Release 8 — day 21, dose 2
Symptoms: Burning pain in left flank that radiates to left abdomen. Comes and goes
Release 8 — day 28, dose 2
Symptoms: Intense headache
Release 10 — 6 months, dose 2
Symptoms: Severe fatigue Low WBC Abnormal differential High AST and AST Severe itching Headache Muscle pain and weakness
Release 11 — 12 months, dose 2
Symptoms: Muscle pain, joint pain, headaches, back pain,
Healthcare visit (other): Surgicenter
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 | Laboratory test | ✓ | ✓ | ✓ |
| HCVO | Medical observation | ✓ | ✓ | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Aspartate aminotransferase increased | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Differential white blood cell count abnormal | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site bruising | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | White blood cell count decreased | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release