RZB-17432-92777
3 vaccinations
6 coded responses
25 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 564 / MN
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Registered dependents
B58-36289-26293
Child or adolescent in my care · Female · 2022-06-22
Timeline
-
2021-02-18
Registered in v-safe
-
2021-02-18
Dose 1 — Moderna
-
2021-02-18
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Headache, Abdominal painAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 21, dose 1MedDRA: Allergic respiratory symptom, Lacrimation increased, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test, Sneezing — Feeling: FairFree text: Symptoms of a head cold/allergies- watery eyes, sneezing, running nose. Testing for COVID today 3/11/21 just to be safe. Nasal swab completed with Essentia Health Brainerd at 4:30pm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Dose 2 — Moderna
- 2021-03-18
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
-
2021-06-17
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: Cold symptoms, runny nose, congestion, light cough, sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-09-16
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Currently pregnantMedDRA releases: 2024-11 · check-in free text available
-
2022-02-22
Dose 3 — Moderna
-
2022-03-18
Survey response — 12 months, dose 2MedDRA: Pregnancy, Surgery — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Symptoms: Pregnancy and postpartum · Healthcare visit (other): SurgeryMedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-03-22
- 2022-03-31
- 2022-04-08
-
2022-04-08
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-08-23
Survey response — 6 months, dose 3MedDRA: Bladder disorder, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Chronic lower back pain and bladder issuesMedDRA releases: 2024-11 · check-in free text available
-
2023-02-22
Survey response — 12 months, dose 3MedDRA: Back pain, Office visit, Physiotherapy — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-02-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-02-23
- 2023-02-23
-
2023-02-23
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna | |
| 2 | 2021-03-18 | Moderna | |
| 3 | 2022-02-22 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Symptoms of a head cold/allergies- watery eyes, sneezing, running nose. Testing for COVID today 3/11/21 just to be safe. Nasal swab completed with Essentia Health Brainerd at 4:30pm.
Release 9 — 3 months, dose 2
Symptoms: Cold symptoms, runny nose, congestion, light cough, sore throat
Release 9 — 6 months, dose 2
Symptoms: Currently pregnant
Release 11 — 12 months, dose 2
Release 12 — 6 months, dose 3
Symptoms: Chronic lower back pain and bladder issues
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 | · | · | ✓ |
| HCVO | Physiotherapy | · | · | ✓ |
| HCVO | Surgery | · | · | ✓ |
| SD | Allergic respiratory symptom | ✓ | ✓ | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Bladder disorder | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ○ | ○ | ○ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release