Z2E-14708-12697
5 vaccinations
8 coded responses
42 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 990 / WA
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Dose 1 — Moderna
-
2021-03-13
Registered in v-safe
-
2021-03-13
Dose 2 — Moderna
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling — Feeling: Good · Site: Itching · Muscle or body achesFree text: Some swelling in my legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Haemoptysis, Office visit — Feeling: Fair · Site: Itching · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Coughing up blood. Only mention it because I saw my doctor & he said it could be related to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Haemoptysis, Oropharyngeal pain, Throat irritation — Feeling: Good · Site: ItchingFree text: Raw, sore throat but no coughing up blood todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
-
2021-03-27
Survey response — day 14, dose 2MedDRA: Haemoptysis — Feeling: FairFree text: Coughing up bloodMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Malaise, Nausea, Pain, Urinary tract disorder — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: On Sunday (day after my shot) I felt terrible and much worse than after my first two shots. Nauseous, extremely fatigued, urinary problems, chills, achy all overMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Paranasal sinus discomfort — Feeling: FairFree text: Sinus discomfort (booster or allergies?)MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-11-01
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-27
- 2022-01-24
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2022-04-23
Survey response — 6 months, dose 3MedDRA: Decreased appetite — Feeling: Good · Be unable to do your normal daily activitiesFree text: Loss of appetite (but not smell or taste)MedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Dose 4 — Moderna
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2022-10-07
Dose 5 — Pfizer-BioNTech
- 2022-10-07
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
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2023-04-07
Survey response — 6 months, dose 5MedDRA: Gastritis, Gastritis erosive, Hiatus hernia, Nephrolithiasis, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-07
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
| 5 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-18 | Unsuccessful | |
| 2023-04-07 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Some swelling in my legs
Systemic reaction (other): Coughing up blood. Only mention it because I saw my doctor & he said it could be related to the vaccine
Systemic reaction (other): Raw, sore throat but no coughing up blood today
Release 6 — day 14, dose 2
Symptoms: Coughing up blood
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On Sunday (day after my shot) I felt terrible and much worse than after my first two shots. Nauseous, extremely fatigued, urinary problems, chills, achy all over
Systemic reaction (other): Sinus discomfort (booster or allergies?)
Release 11 — 6 months, dose 3
Symptoms: Loss of appetite (but not smell or taste)
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 | Decreased appetite | · | · | ✓ |
| SD | Gastritis | · | · | ✓ |
| SD | Gastritis erosive | · | · | ✓ |
| SD | Haemoptysis | ✓ | ✓ | ✓ |
| SD | Hiatus hernia | · | · | ✓ |
| SD | Nephrolithiasis | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Haemoptysis | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Paranasal sinus discomfort | · | · | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Urinary tract disorder | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release