ZZK-15195-52655
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-26
Dose 2 — Moderna
-
2021-03-29
Registered in v-safe
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to workAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest feels a little heavy like a cough is developingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-09
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2021-04-16
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Increasing headache and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
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2021-04-30
Survey response — day 35, dose 2MedDRA: Anxiety, Immediate post-injection reaction, Vaccine positive rechallenge — Feeling: GoodFree text: Peridioc bouts of anxiety. I also had pretty severe anxiety symptoms about 30 minutes after each of my vaccinations. 2nd was worse. Prior to the vaccination I was not anxious or fearful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-25
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2021-09-24
Survey response — 6 months, dose 2MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sore throat and congestion.MedDRA releases: 2024-11 · check-in free text available
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2022-03-26
Survey response — 12 months, dose 2MedDRA: Cardiac disorder, Cardiac stress test abnormal, Chest pain, Pre-existing disease, Respiratory disorder, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Developed chest pains, stress test shows" cold spots" in my heart. Currently have some type of rather severe respiratory illness that tested negative for COVID. Chronic fatigue.MedDRA releases: 2024-11 · check-in free text available
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2022-03-26
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-03-29
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Chest feels a little heavy like a cough is developing
Release 7 — day 21, dose 2
Symptoms: Increasing headache and fatigue
Release 8 — day 35, dose 2
Symptoms: Peridioc bouts of anxiety. I also had pretty severe anxiety symptoms about 30 minutes after each of my vaccinations. 2nd was worse. Prior to the vaccination I was not anxious or fearful.
Release 9 — 6 months, dose 2
Symptoms: Sore throat and congestion.
Release 11 — 12 months, dose 2
Symptoms: Developed chest pains, stress test shows" cold spots" in my heart. Currently have some type of rather severe respiratory illness that tested negative for COVID. Chronic fatigue.
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Cardiac disorder | · | · | ✓ |
| SD | Cardiac stress test abnormal | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release