ZXP-31281-08109
5 vaccinations
30 coded responses
52 check-ins
28 free-text entries
8 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 442 / OH
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Feels like somebody is sitting on my chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Shortness of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: More short of breath than normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 7, dose 1MedDRA: Dyspnoea — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
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2021-04-02
Dose 2 — Moderna
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2021-04-02
Survey response — day 0, dose 2MedDRA: Dry mouth — Feeling: Fair · Headache, Fatigue or tirednessFree text: Dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dry mouth — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dry mouth and coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short of breathMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough, Dry mouth — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough, dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: CoughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 7, dose 2MedDRA: Cough, Dry mouth — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dry mouth coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Survey response — day 21, dose 2MedDRA: Arthralgia, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very weak pounding headache joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme exhaustionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-07-02
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Chest pain, Dyspnoea, Ear pain, Lymphadenopathy, Office visit, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Sore throat congestion swollen glands short of breath ears hurt chest hurts · Healthcare visit (other): In office visitMedDRA releases: 2024-11 · check-in free text available
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2021-10-01
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-10-09
Dose 3 — Moderna
- 2021-10-29
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2021-10-30
Survey response — day 21, dose 3MedDRA: Migraine — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Severe migraineMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — day 28, dose 3MedDRA: Medical counselling, Migraine — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Severe migraine for 18 days · Healthcare visit (other): Phone chatMedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-09
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2021-11-11
Call successfulParticipant prefers to complete VAERS report online
- 2021-11-13
- 2021-11-20
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2022-01-08
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, Cough, Headache, Respiratory tract congestion, Sinus congestion — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: No taste or smell head and sinus congestion cough, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-01-08
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-01-10
- 2022-01-12
- 2022-04-09
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2022-04-21
Dose 4 — Moderna
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Dizziness, very weakMedDRA releases: 2024-11 · check-in free text available
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Arm is hot where I got the injectionMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Stiffness in neck, pain in shouldersMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Medical counselling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Very bad headache · Healthcare visit (other): Phone call with PCP and PharmacistMedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Report sent to call center — days 1–6 daily, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-28
Survey response — day 7, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Swollen glandsMedDRA releases: 2024-11 · check-in free text available
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2022-04-28
Call successfulCompleted over the phone
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
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2022-07-21
Survey response — 3 months, dose 4MedDRA: Dyspnoea, Ear pain, Headache, Lymphadenopathy, Oropharyngeal pain, Pain, Paranasal sinus discomfort, Tenderness — 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: Sore throat swollen glands earache both ears body aches short of breath pressure behind eyes both cheeks sore to the touch sick headacheMedDRA releases: 2024-11 · check-in free text available
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2022-07-21
Report sent to call center — 3 months, dose 4Be 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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2022-07-22
Call successfulDoes not wish to fill out VAERS report
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2022-07-22
Call successfulDoes not wish to fill out VAERS report
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2022-07-22
Call successfulReported to VAERS during previous contact from GDIT
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2022-10-05
Dose 5 — Pfizer-BioNTechCo-administered: Flu
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2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2022-10-12
Survey response — day 7, dose 5MedDRA: Dyspnoea — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Short of breathMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — day 14, dose 5MedDRA: Dyspnoea, Fatigue, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Body aches, shortness of breath and exhaustionMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 21, dose 5MedDRA: Dyspnoea, Migraine, Pain — 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: Short of breath even while resting, very bad migraine body achesMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Report sent to call center — day 21, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-10-27
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2022-10-27
Call successfulCompleted over the phone
- 2022-11-02
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2022-11-09
Survey response — day 35, dose 5MedDRA: Dyspnoea, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Short of breath bad headacheMedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
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2023-01-04
Survey response — 3 months, dose 5MedDRA: Dizziness, Dyspnoea, Migraine, Unevaluable event — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationMedDRA releases: 2024-11
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2023-01-04
Report sent to call center — 3 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalHospitalization · 1 call case(s)
- 2023-01-05
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2023-04-05
Survey response — 6 months, dose 5MedDRA: Cardiac failure congestive, Hospitalisation — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationMedDRA releases: 2024-11
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2023-04-05
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2023-04-06
- 2023-04-06
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2023-04-07
Call successfulReported to VAERS during previous contact from GDIT
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2023-04-07
Call successfulReported to VAERS during previous contact from GDIT
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-10-09 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-10-05 | Pfizer-BioNTech | Flu |
Call center
8 call center cases
8 successful
VAERS report filed, before or during a call: 5
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Feels like somebody is sitting on my chest
Systemic reaction (other): Shortness of breath
Systemic reaction (other): More short of breath than normal
Systemic reaction (other): Short of breath
Systemic reaction (other): Short of breath
Release 5 — day 7, dose 1
Systemic reaction (other): Short of breath
Release 6 — day 0, dose 2
Systemic reaction (other): Dry mouth
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dry mouth and coughing
Systemic reaction (other): Short of breath
Systemic reaction (other): Cough, dry mouth
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Coughing
Release 7 — day 7, dose 2
Systemic reaction (other): Dry mouth coughing
Release 7 — day 21, dose 2
Symptoms: Very weak pounding headache joint pain
Release 8 — day 28, dose 2
Symptoms: Extreme exhaustion
Release 9 — 6 months, dose 2
Symptoms: Sore throat congestion swollen glands short of breath ears hurt chest hurts
Healthcare visit (other): In office visit
Release 10 — day 21, dose 3
Symptoms: Severe migraine
Release 10 — day 28, dose 3
Release 10 — 3 months, dose 3
Symptoms: No taste or smell head and sinus congestion cough, headache
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness, very weak
Systemic reaction (other): Arm is hot where I got the injection
Systemic reaction (other): Stiffness in neck, pain in shoulders
Systemic reaction (other): Very bad headache
Healthcare visit (other): Phone call with PCP and Pharmacist
Release 11 — day 7, dose 4
Systemic reaction (other): Swollen glands
Release 12 — 3 months, dose 4
Symptoms: Sore throat swollen glands earache both ears body aches short of breath pressure behind eyes both cheeks sore to the touch sick headache
Release 12 — day 7, dose 5
Systemic reaction (other): Short of breath
Release 12 — day 14, dose 5
Symptoms: Body aches, shortness of breath and exhaustion
Release 12 — day 21, dose 5
Symptoms: Short of breath even while resting, very bad migraine body aches
Release 12 — day 35, dose 5
Symptoms: Short of breath bad headache
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 counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Cardiac failure congestive | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release