ZYJ-16793-87215
2 vaccinations
9 coded responses
24 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 759 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
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2021-01-12
Dose 1 — Moderna
- 2021-01-12
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Nasopharyngitis — Feeling: Good · Site: PainFree text: ColdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Feeling cold — Feeling: Good · Site: PainFree text: ColdMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
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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: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site swelling — Feeling: Good · Site: Pain · Muscle or body achesFree text: Swelling at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
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2021-03-02
Survey response — day 21, dose 2MedDRA: Back pain, Fatigue, Feeling abnormal, Oropharyngeal discomfort, Sluggishness — Feeling: FairFree text: Hurting back. Foggy thinking. Tickle in throat. Sluggish, tired. Wondered if I caught something.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — day 28, dose 2MedDRA: Fatigue, Oropharyngeal pain, Secretion discharge, Tongue discomfort — Feeling: FairFree text: Sore throat, run-down feeling, tongue on fire, yellow mucus from lungsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — day 35, dose 2MedDRA: Blepharitis, Feeling abnormal, Oropharyngeal pain, Sputum discoloured, Toothache — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Sore throat, yellow mucus from lung, inflamed eye, generally foggy head. Completed 5 days Zithromax on Sunday. Started 7 day regimen of Clindamycin today. Anaerobic bacteria probably the culprit. Left molars hurt, top & bottom. Probably a leftMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-03-23
Survey response — day 42, dose 2MedDRA: Arthralgia, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My joints hurt so bad I was nauseated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Survey response — 3 months, dose 2MedDRA: Emergency care, Peripheral swelling, Swelling, Syncope — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: 4 a.m. Monday after Easter I fainted 4 times, found myself on floor. I had an emergency room visit on Good Friday because of swollen hands. Was given a steroid shot. Swelling went down Saturday. Tuesday had cat scan of head (ok) & X-rays (no broken bMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-11
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-11
- 2021-12-10
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2021-12-15
Call successfulCompleted over the phone
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Arthralgia, Oropharyngeal pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat, achy jointsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
2 call center cases
2 successful
VAERS report filed, before or during a call: 2
1 wait over 3 months for a first call
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Cold
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Cold
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Swelling at injection site
Release 4 — day 21, dose 2
Symptoms: Hurting back. Foggy thinking. Tickle in throat. Sluggish, tired. Wondered if I caught something.
Release 5 — day 28, dose 2
Symptoms: Sore throat, run-down feeling, tongue on fire, yellow mucus from lungs
Release 5 — day 35, dose 2
Symptoms: Sore throat, yellow mucus from lung, inflamed eye, generally foggy head. Completed 5 days Zithromax on Sunday. Started 7 day regimen of Clindamycin today. Anaerobic bacteria probably the culprit. Left molars hurt, top & bottom. Probably a left
Release 6 — day 42, dose 2
Symptoms: My joints hurt so bad I was nauseated.
Release 8 — 3 months, dose 2
Symptoms: 4 a.m. Monday after Easter I fainted 4 times, found myself on floor. I had an emergency room visit on Good Friday because of swollen hands. Was given a steroid shot. Swelling went down Saturday. Tuesday had cat scan of head (ok) & X-rays (no broken b cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: Sore throat, achy joints
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Blepharitis | ✓ | ✓ | ✓ |
| SD | Emergency care | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Secretion discharge | ✓ | ✓ | ✓ |
| SD | Sluggishness | ✓ | ✓ | ✓ |
| SD | Sputum discoloured | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | Tongue discomfort | ✓ | ✓ | ✓ |
| SD | Toothache | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release