ZWZ-25403-24100
2 vaccinations
6 coded responses
17 check-ins
6 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 809 / CO
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-12
Dose 1 — Moderna
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2021-04-13
Registered in v-safe
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2021-04-13
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal, Urticaria — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I was actually broken out in hives before I got the vaccine and my hives seemed to clear up almost immediately after I received it. Very weird.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-04-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-14
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activities1 call case(s)
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2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Migraine, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: No fever but felt very feverish. Constant chills, migraines all day, and so extremely tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Report sent to call center — days 1–6 daily, dose 1Be unable to work · Be unable to do your normal daily activitiesno matching call case
- 2021-04-17
- 2021-04-19
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2021-05-04
Survey response — day 21, dose 1MedDRA: Foetal death, Medical observation — 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 · Emergency room or emergency department visitFree text: Symptoms: Not long after i got the vaccine, my fetus stopped developing. Not sure if related. · Healthcare visit (other): TriageMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Report sent to call center — day 21, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-06
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2021-05-07
Call successfulCompleted over the phone
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2021-05-10
Dose 2 — Moderna
- 2021-05-10
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2021-05-11
Survey response — days 1–6 daily, dose 2MedDRA: Foetal death, Malaise, Pregnancy — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Im pregnant as well but the fetus stopped developing. It gets removed friday. But was very very sick from shot today. Considered even calling an ambulance at one point.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Abdominal painAdult check-in
- 2021-05-14
- 2021-05-21
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-06-23
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2021-08-09
Survey response — 3 months, dose 2MedDRA: Anxiety, Chest pain, Office visit — Feeling: GoodFree text: I had some major chest pains. When I went to the doctor, they asked if I got the vaccine. Everything seemed normal. Could have been anxiety. Lasted 3 weeks. But we dont know for sure.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-11-08
Survey response — 6 months, dose 2MedDRA: Medical counselling, Oedema peripheral — Feeling: FairFree text: I had a swollen armpit since the shot on same arm but thought it was caused by possible breast cancer. Doctor said its likely from the vaccination as the other reason was ruled out as i dont have breast cancer. Rather have swollen armpit than Covid.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-13 | priority 2/3 | |
| 2021-04-14 | priority 2/3 | |
| 2021-05-04 | Successful 2021-05-07 |
Completed over the phone |
1 report(s) with no call case — see the timeline.
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I was actually broken out in hives before I got the vaccine and my hives seemed to clear up almost immediately after I received it. Very weird.
Systemic reaction (other): No fever but felt very feverish. Constant chills, migraines all day, and so extremely tired.
Release 8 — day 21, dose 1
Symptoms: Not long after i got the vaccine, my fetus stopped developing. Not sure if related.
Healthcare visit (other): Triage
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Im pregnant as well but the fetus stopped developing. It gets removed friday. But was very very sick from shot today. Considered even calling an ambulance at one point.
Release 9 — 3 months, dose 2
Symptoms: I had some major chest pains. When I went to the doctor, they asked if I got the vaccine. Everything seemed normal. Could have been anxiety. Lasted 3 weeks. But we dont know for sure.
Release 10 — 6 months, dose 2
Symptoms: I had a swollen armpit since the shot on same arm but thought it was caused by possible breast cancer. Doctor said its likely from the vaccination as the other reason was ruled out as i dont have breast cancer. Rather have swollen armpit than Covid. cut off by CDC
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 | Medical observation | ✓ | ✓ | ✓ |
| SD | Anxiety | ✓ | · | ✓ |
| SD | Chest pain | ✓ | · | ✓ |
| SD | Foetal death | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Oedema peripheral | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Foetal death | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release