3FZ-33091-38949
3 vaccinations
3 coded responses
32 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 758 / TX
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-17
- 2021-01-18
- 2021-01-21
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-12
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
-
2021-10-12
Dose 3 — Moderna
-
2021-10-25
Survey response — day 7, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: These symptoms occurred for 2 days after my booster on Oct 12. That was almost 2,weeks ago but your questions say today. My symptoms only lasted a couple of days.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2022-01-11
-
2022-04-12
Survey response — 6 months, dose 3MedDRA: Chills, Dizziness, Ear congestion, Feeling abnormal, Influenza virus test negative, Nasopharyngitis, Office visit, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Low grade fever, chills, dizziness, cold like symptoms stuffy head, ears, runny nose. Felt really bad. No loss of taste or smell. Lasted more than a week. Tested for covid, flu, strep but negative for all. Dizziness lingered but not as prevelant. · Healthcare visit (other): Dr visitMedDRA releases: 2024-11 · check-in free text available
-
2022-04-12
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-04-19
Call successfulDoes not wish to fill out VAERS report
-
2022-10-12
Survey response — 12 months, dose 3MedDRA: COVID-19 — Feeling: Good · 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: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-10-12
Report sent to call center — 12 months, dose 3Be 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)
-
2022-10-13
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-12 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 10 — day 7, dose 3
Systemic reaction (other): These symptoms occurred for 2 days after my booster on Oct 12. That was almost 2,weeks ago but your questions say today. My symptoms only lasted a couple of days.
Release 11 — 6 months, dose 3
Symptoms: Low grade fever, chills, dizziness, cold like symptoms stuffy head, ears, runny nose. Felt really bad. No loss of taste or smell. Lasted more than a week. Tested for covid, flu, strep but negative for all. Dizziness lingered but not as prevelant.
Healthcare visit (other): Dr visit
Release 12 — 12 months, dose 3
Symptoms: Covid
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 | Office visit | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Ear congestion | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Influenza virus test negative | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release