ZY6-24275-31998
4 vaccinations
11 coded responses
38 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 038 / NH
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
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2021-04-02
Registered in v-safe
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Jaw disorder, Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, SwellingFree text: Last night the left side of my jaw made it hard to bite hard like the precursor to TMJ, and in the middle of the night, the lymph node under my left arm pit started to hurt. It is swollen today, and is painful when rubbing against my left side.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — day 7, dose 1MedDRA: Lymph node pain, Lymphadenopathy, Temporomandibular joint syndrome — Feeling: Fair · Site: Pain, Swelling · Joint painsFree text: TMJ left jaw, hard to bite, extremely swollen and painful lymph node under left arm pit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 14, dose 1MedDRA: Condition aggravated, Immunisation reaction, Injection site rash, Lymph node pain, Lymphadenopathy, Pre-existing disease, Rash erythematous, Rash pruritic, Temporomandibular joint syndrome — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid Arm red itchy rash where shot was administered, 9 days after shot,. Treating with Clobex. TMJ in left jaw is worsening every day since it started with the lymph node swelling and pain on day 5.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
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2021-04-29
Dose 2 — Moderna
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2021-04-29
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Bradykinesia, Brain fog — Feeling: Fair · Site: Redness, Swelling, Itching · 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: Cloudy thinking, slow movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: RednessFree text: When stopping after walking, top half of body seems to still go forward. Very odd sensation. Slight dizziness or something.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Poor · Site: Redness, Itching · Be unable to do your normal daily activitiesFree text: Slow thinking, slow moving. Something is 'off'. Do not feel like myself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Bradyphrenia, Movement disorder, Pyrexia, Urticaria — Feeling: Good · Site: RednessFree text: Red welt looking areas on front facing bicep, still slightly slow thinking and moving, but better then it was. Since 102.7 fever the night of the 2 ND vaccine, temp has been lower than normal. 96.7 right now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
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2021-06-03
Survey response — day 35, dose 2MedDRA: Condition aggravated, Temporomandibular joint syndrome — Feeling: FairFree text: TMJ in left jaw that began after first Moderna Shot, has gotten worse in the last week, despite wearing a mouth guard while sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-07-29
- 2021-10-28
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2021-11-24
Dose 3 — Moderna
- 2022-04-29
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2022-09-20
Dose 4 — Moderna
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2022-09-22
Survey response — days 1–6 daily, dose 4MedDRA: Contusion, Loss of consciousness — Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I passed out while seated on a stool in my bathroom, attempting to water-pick my teeth fo the first time since 9/19/22. I woke up bruised on the floor.MedDRA releases: 2024-11 · check-in free text available
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2022-09-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-09-24
Survey response — days 1–6 daily, dose 4MedDRA: Concussion, Loss of consciousness — Feeling: Fair · Be unable to work or attend school, 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: I believe I have a mild concussion from passing out Tuesday, and any symptoms I have, are from that.MedDRA releases: 2024-11 · check-in free text available
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2022-09-24
Report sent to call center — days 1–6 daily, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-09-25
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: GoodFree text: I should have reported this since the second day, swollen lymph node in armpit of arm that received the shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-26
- 2022-09-26
- 2022-09-27
- 2022-09-29
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2022-09-29
Call successfulCompleted over the phone
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Last night the left side of my jaw made it hard to bite hard like the precursor to TMJ, and in the middle of the night, the lymph node under my left arm pit started to hurt. It is swollen today, and is painful when rubbing against my left side.
Release 7 — day 7, dose 1
Systemic reaction (other): TMJ left jaw, hard to bite, extremely swollen and painful lymph node under left arm pit.
Release 7 — day 14, dose 1
Symptoms: Covid Arm red itchy rash where shot was administered, 9 days after shot,. Treating with Clobex. TMJ in left jaw is worsening every day since it started with the lymph node swelling and pain on day 5.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Cloudy thinking, slow movements
Systemic reaction (other): When stopping after walking, top half of body seems to still go forward. Very odd sensation. Slight dizziness or something.
Systemic reaction (other): Slow thinking, slow moving. Something is 'off'. Do not feel like myself.
Systemic reaction (other): Red welt looking areas on front facing bicep, still slightly slow thinking and moving, but better then it was. Since 102.7 fever the night of the 2 ND vaccine, temp has been lower than normal. 96.7 right now.
Release 8 — day 35, dose 2
Symptoms: TMJ in left jaw that began after first Moderna Shot, has gotten worse in the last week, despite wearing a mouth guard while sleeping.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I passed out while seated on a stool in my bathroom, attempting to water-pick my teeth fo the first time since 9/19/22. I woke up bruised on the floor.
Systemic reaction (other): I believe I have a mild concussion from passing out Tuesday, and any symptoms I have, are from that.
Systemic reaction (other): I should have reported this since the second day, swollen lymph node in armpit of arm that received the shot.
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Temporomandibular joint syndrome | ✓ | ✓ | ✓ |
| SRO | Bradykinesia | ✓ | ✓ | ✓ |
| SRO | Bradyphrenia | ✓ | ✓ | ✓ |
| SRO | Brain fog | ✓ | ✓ | ✓ |
| SRO | Concussion | · | · | ✓ |
| SRO | Contusion | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Jaw disorder | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Temporomandibular joint syndrome | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release