XZ3-47109-79624
5 vaccinations
9 coded responses
63 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
-
2021-01-07
Health check-in — 0 day, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-08
- 2021-01-09
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Sleep disorder, Sneezing, Throat irritation — Feeling: Fair · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Self-medication, Throat clearing — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-01-13
- 2021-01-14
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-04
Health check-in — 0 day, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Sinus pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-05
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold, Sensitive skin — Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Headache, Nausea, Pain, Self-medication — Feeling: Good · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2022-01-29
-
2022-04-23
Dose 4 — Moderna
-
2022-04-23
Survey response — 0 day, dose 4MedDRA: Sensitive skin — Feeling: Fair · Site: Pain · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
- 2022-06-04
- 2022-07-23
-
2022-09-08
Dose 5 — Pfizer-BioNTech
- 2022-09-08
-
2022-09-09
Survey response — days 1–6 daily, dose 5MedDRA: Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2022-09-10
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-11
-
2022-09-12
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Ear pain, Headache, Neck pain — Feeling: Poor · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-09-17
- 2022-09-22
- 2022-10-02
- 2022-10-07
- 2022-10-13
- 2022-10-20
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2022-12-08
Survey response — 3 month, dose 5MedDRA: Conjunctivitis, Cough, Epistaxis, Fatigue, Headache, Medical counselling, Nasal discharge discolouration, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11 · check-in answers available
-
2022-12-08
Report sent to call center — 3 month, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2022-12-09
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-23 | Moderna | No |
| 5 | 2022-09-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-12-08 | Successful 2022-12-09 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 1
Systemic reaction (other): Dry coughing during last night, interfered w/ sleep. Sneezing and slightly scratchy throat today
Systemic reaction (other): Tiny brief throat clearing cough last night, subsided easily w/ Cepacol lozenge.
Release 3
Systemic reaction (other): Sinus pain
Release 10
Systemic reaction (other): Skin sensitivity, no chills but wanting a blanket
Systemic reaction (other): Last night, I had chills, bad body aches, headache, and nausea even after feeling fairly well during the day yesterday and taking acetaminophen and ibuprofen, and
Release 11
Systemic reaction (other): Skin sensitivity- all over
Release 12
Systemic reaction (other): Skin sensitivity
Systemic reaction (other): Severe headache in the middle of the night; shoulder and neck pain going up to my ears/temples
Symptoms: 10 days of cough, congestion, mild headaches. Fatigue, bloody nasal discharge and conjunctivitis, at times.
Healthcare visit (other): In progress; phone calls with nurse
Free-text releases are not linked to a specific 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 | Medical counselling | · | · | ✓ |
| SD | Conjunctivitis | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Epistaxis | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal discharge discolouration | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Productive cough | ○ | ○ | ○ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | · | · | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
| SRO | Throat clearing | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release