Z59-11068-69206
4 vaccinations
5 coded responses
34 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 327 / FL
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-30
- 2021-04-09
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
-
2021-04-21
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: I JUST got it an hour ago so too soon to tellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Gastrooesophageal reflux disease — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Bad acid reflux/GERD. I have it but its controlled with meds. Not today! NoisyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-04-24
- 2021-04-26
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-03
-
2021-07-21
Survey response — 3 months, dose 2MedDRA: Asthenia, Fatigue, Migraine, Pre-existing disease, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: Probably unrelated. Sharing, just in case. Had a migraine for the first time in many years two nights ago. Even threw up. Cant remember the last time I did that. Was really tired and weak that day after. Went to bed early and All good now!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-22
-
2021-11-19
Dose 3 — Moderna
-
2022-04-21
Survey response — 12 months, dose 2MedDRA: Blood pressure diastolic increased, Hypertension — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: High blood pressure - especially diastolicMedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-04-22
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-05-20
Dose 4 — Moderna
-
2022-05-21
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-05-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-05-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
-
2022-08-19
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Caught Covid in July.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-19
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-08-23
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-21 | Successful 2022-04-22 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-08-19 | Successful 2022-08-23 |
Does not wish to fill out VAERS report |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): I JUST got it an hour ago so too soon to tell
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Bad acid reflux/GERD. I have it but its controlled with meds. Not today! Noisy
Release 9 — 3 months, dose 2
Symptoms: Probably unrelated. Sharing, just in case. Had a migraine for the first time in many years two nights ago. Even threw up. Cant remember the last time I did that. Was really tired and weak that day after. Went to bed early and All good now!
Release 11 — 12 months, dose 2
Symptoms: High blood pressure - especially diastolic
Release 12 — 3 months, dose 4
Symptoms: Caught Covid in July.
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 | Blood pressure diastolic increased | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release