4ZA-33894-49760
5 vaccinations
5 coded responses
43 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · HeadacheFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-09
Dose 2 — Moderna
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Emergency care, Influenza, Pneumonia, Respiratory tract congestion, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Traveled to Wisconsin to visit family 1st week July. Had breathing & congestion.Went to local hospital emergency room for medical attention. Diagnosed pneumonia. Lasted 1 month. This was followed by bad case of flu in August lasted 3 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-08
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-10
-
2021-10-29
Dose 3 — ModernaCo-administered: Flu
-
2021-10-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Headache, Nausea, DiarrheaAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis, Rhinorrhoea, Sneezing — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, DiarrheaFree text: Symptoms of cold, sneezing, runny nose,MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Nasopharyngitis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Cold symptomsMedDRA releases: 2024-11 · check-in free text available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
-
2021-12-12
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Headache, Paranasal sinus discomfort, Secretion discharge — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Constant cough, headaches, constant nasal pressure, mucus, blowing nose. Tired. Believe it's a severe cold.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-29
-
2022-04-13
Dose 4 — Moderna
-
2022-10-13
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-13
-
2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-10-29 | Moderna | Flu |
| 4 | 2022-04-13 | Moderna | No |
| 5 | 2022-10-13 | Pfizer-BioNTech | Flu |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 9 — 6 months, dose 2
Symptoms: Traveled to Wisconsin to visit family 1st week July. Had breathing & congestion.Went to local hospital emergency room for medical attention. Diagnosed pneumonia. Lasted 1 month. This was followed by bad case of flu in August lasted 3 weeks.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Symptoms of cold, sneezing, runny nose,
Systemic reaction (other): Cold symptoms
Release 10 — day 42, dose 3
Symptoms: Constant cough, headaches, constant nasal pressure, mucus, blowing nose. Tired. Believe it's a severe cold.
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 | Cough | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release