Z37-20969-92861
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tirednessAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, NauseaFree text: Just feeling foggy and not myselfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-19
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Blood pressure increased — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workFree text: Increased blood pressureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-02-14
- 2021-02-15
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Respiratory tract congestion — Feeling: Fair · Fatigue or tirednessFree text: CongestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-18
- 2021-03-26
- 2021-05-13
- 2021-08-14
-
2021-10-28
Dose 3 — Moderna
- 2021-10-29
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-06
- 2021-11-13
- 2021-11-18
- 2021-11-27
- 2021-12-04
- 2021-12-09
- 2022-01-29
- 2022-04-29
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2022-10-28
Survey response — 12 months, dose 3MedDRA: Asthenia, Cough — Feeling: Fair · Be unable to work or attend schoolFree text: Weaknesses, coughMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-18 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just feeling foggy and not myself
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Increased blood pressure
Systemic reaction (other): Congestion
Release 12 — 12 months, dose 3
Symptoms: Weaknesses, cough
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SRO | Blood pressure increased | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release