TZM-24514-67056
4 vaccinations
4 coded responses
44 check-ins
4 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 300 / GA
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
WTN-16866-31131
Child or adolescent in my care · Male · 2022-07-25
Timeline
-
2021-03-18
Registered in v-safe
-
2021-03-18
Dose 1 — Moderna
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 21, dose 1MedDRA: Abdominal pain upper, Chills, Oropharyngeal pain — Feeling: GoodFree text: Stomach ache, chills and sore throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Dose 2 — Moderna
-
2021-04-15
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2022-01-26
Dose 3 — Moderna
-
2022-01-26
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-01-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-01-29
- 2022-01-30
- 2022-01-31
- 2022-02-01
- 2022-02-02
- 2022-02-09
- 2022-02-16
- 2022-02-23
- 2022-03-02
- 2022-03-09
- 2022-04-27
- 2022-07-27
-
2022-10-27
Dose 4 — Moderna
-
2022-11-28
Survey response — day 28, dose 4MedDRA: Sinusitis — Feeling: Fair · 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 visitFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-11-28
Report sent to call center — day 28, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-11-29
-
2022-12-01
Survey response — day 35, dose 4MedDRA: Ear pain, Paranasal sinus discomfort — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus pressure EaracheMedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — day 35, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-02
- 2022-12-02
-
2022-12-08
Survey response — day 42, dose 4MedDRA: Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infectionMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-12-09
- 2022-12-09
- 2022-12-09
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2022-01-26 | Moderna | No |
| 4 | 2022-10-27 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
Free text
Release 7 — day 21, dose 1
Symptoms: Stomach ache, chills and sore throat.
Release 12 — day 28, dose 4
Symptoms: Sinus infection
Release 12 — day 35, dose 4
Symptoms: Sinus pressure Earache
Release 12 — day 42, dose 4
Symptoms: Sinus infection
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release