Z5G-88517-22583
4 vaccinations
5 coded responses
39 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 329 / FL
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: GoodFree text: Long naps after eatingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
-
2021-03-17
Survey response — day 0, dose 2MedDRA: Pre-existing disease, Somnolence — Feeling: Good · Fatigue or tirednessFree text: My sleepiness might be caused by seasonal allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
-
2021-09-15
Survey response — 6 months, dose 2MedDRA: Atypical mycobacterial infection, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been diagnosed with a typical mycobacterium infection in my lungs. · Healthcare visit (other): I am under the care of a pulmonary doctor.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-15
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-09-17
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2021-09-27
Dose 3 — Moderna
-
2022-03-18
Survey response — 12 months, dose 2MedDRA: Bacterial infection, Computerised tomogram normal, Mycobacterium avium complex infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I have been diagnosed with mycobacteria avium complex, and I am currently enrolled in a clinical trial. · Healthcare visit (other): The bacteria was discovered on a CAT scan and I followed through with doctor visits.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-21
-
2022-11-16
Dose 4 — Moderna
-
2022-11-16
Survey response — day 0, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: I am in a clinical trial to treat mycobacterium about complexMedDRA releases: 2024-11 · check-in free text available
-
2022-11-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-11-18
- 2022-11-19
-
2022-11-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-11-21
- 2022-11-22
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2022-12-28
- 2023-02-15
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-09-27 | Moderna | No |
| 4 | 2022-11-16 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-09-15 | Successful 2021-09-17 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-03-18 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Long naps after eating
Release 5 — day 0, dose 2
Systemic reaction (other): My sleepiness might be caused by seasonal allergies.
Release 9 — 6 months, dose 2
Symptoms: I have been diagnosed with a typical mycobacterium infection in my lungs.
Healthcare visit (other): I am under the care of a pulmonary doctor.
Release 11 — 12 months, dose 2
Symptoms: I have been diagnosed with mycobacteria avium complex, and I am currently enrolled in a clinical trial.
Healthcare visit (other): The bacteria was discovered on a CAT scan and I followed through with doctor visits.
Release 12 — day 0, dose 4
Systemic reaction (other): I am in a clinical trial to treat mycobacterium about complex
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 | Bacterial infection | · | · | ✓ |
| HCVO | Computerised tomogram normal | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Atypical mycobacterial infection | · | · | ✓ |
| SD | Mycobacterium avium complex infection | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release