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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

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-26
    Dose 2 — Moderna
  3. 2021-03-29
    Registered in v-safe
  4. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work
    Adult check-in
  5. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: Chest feels a little heavy like a cough is developing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  7. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  8. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-04-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-16
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Increasing headache and fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-23
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-04-30
    Survey response — day 35, dose 2
    MedDRA: Anxiety, Immediate post-injection reaction, Vaccine positive rechallenge — Feeling: Good
    Free 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
  13. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-06-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-24
    Survey response — 6 months, dose 2
    MedDRA: Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sore throat and congestion.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: 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 consultation
    Free 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
  17. 2022-03-26
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  18. 2022-03-29
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-30

Systemic reaction (other): Chest feels a little heavy like a cough is developing

Release 7 — day 21, dose 2

2021-04-16

Symptoms: Increasing headache and fatigue

Release 8 — day 35, dose 2

2021-04-30

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

2021-09-24

Symptoms: Sore throat and congestion.

Release 11 — 12 months, dose 2

2022-03-26

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

FieldPreferred term2021-092023-042024-11
SDAnxiety ✓ ✓ ✓
SDCardiac disorder · · ✓
SDCardiac stress test abnormal · · ✓
SDChest pain · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImmediate post-injection reaction ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease · · ✓
SDRespiratory disorder · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SDVaccine positive rechallenge ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release