Z3P-29573-19831
5 vaccinations
11 coded responses
62 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 190 / PA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Moderna
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2021-01-16
Survey response — day 0, dose 1MedDRA: Flushing — Feeling: Good · Site: Pain, Redness · Fever · ChillsFree text: Facial flushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-01-17
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-02-01
- 2021-02-06
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2021-02-13
Dose 2 — Moderna
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2021-02-13
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: Fair · HeadacheFree text: Facial flushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workFree text: My highest fever was 100.7 yesterday. Its gone up and down today but coming down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Vertigo — Feeling: Fair · Site: Redness, Itching · Chills · Be unable to do your normal daily activitiesFree text: Very bad dizziness. Blood pressure and temp are normal. BAD vertigo.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizziness but better today than yesterday. More mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Loss of personal independence in daily activities, Middle insomnia, Vertigo — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Moderate. I cant work out. Episodes of dizzinessone woke me up in the middle of the night. Ive been having vertigo intermittently for three days!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Fair · Fatigue or tirednessFree text: Vertigointermittent and at times fairly severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — day 7, dose 2MedDRA: Vertigo — Feeling: Fair · Fatigue or tirednessFree text: Vertigofinally much milder today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
- 2021-08-14
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2021-11-19
Dose 3 — Moderna
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Sinus disorder — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sinus issues and some coughingMedDRA releases: 2024-11 · check-in free text available
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
- 2022-05-20
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2022-08-16
Dose 4 — Moderna
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2022-08-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-08-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-08-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-08-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-08-21
- 2022-08-22
- 2022-08-23
- 2022-08-30
- 2022-09-06
- 2022-09-20
- 2022-09-27
- 2022-11-15
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2023-02-14
Dose 5 — Moderna
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2023-02-14
Health check-in — day 0, dose 5Feeling: Fair · Site: Itching · Chills, Headache, NauseaAdult check-in
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2023-02-15
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2023-02-16
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessMedDRA releases: 2024-11
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2023-02-17
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2023-02-18
- 2023-02-19
- 2023-02-20
- 2023-02-21
- 2023-02-28
- 2023-03-07
- 2023-03-14
- 2023-03-21
- 2023-03-28
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2023-05-16
Survey response — 3 months, dose 5MedDRA: Oropharyngeal pain, SARS-CoV-2 test negative, Sinus disorder — Feeling: FairMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-08-16 | Moderna | No |
| 5 | 2023-02-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | priority 2/3 |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Facial flushing
Release 4 — day 0, dose 2
Systemic reaction (other): Facial flushing
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My highest fever was 100.7 yesterday. Its gone up and down today but coming down.
Systemic reaction (other): Very bad dizziness. Blood pressure and temp are normal. BAD vertigo.
Systemic reaction (other): Dizziness but better today than yesterday. More mild.
Systemic reaction (other): Moderate. I cant work out. Episodes of dizzinessone woke me up in the middle of the night. Ive been having vertigo intermittently for three days!
Systemic reaction (other): Vertigointermittent and at times fairly severe
Release 4 — day 7, dose 2
Systemic reaction (other): Vertigofinally much milder today.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sinus issues and some coughing
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 | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release