Z5K-39894-57164
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 440 / OH
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
- 2021-04-03
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2021-04-15
Survey response — day 14, dose 1MedDRA: Anxiety, Headache — Feeling: FairFree text: Headache, anxietyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Dose 2 — Moderna
-
2021-04-27
Health check-in — day 0, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-29
- 2021-04-30
- 2021-05-01
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
-
2021-06-01
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: Periodic headaches... I don't typically get headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
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2021-07-27
Survey response — 3 months, dose 2MedDRA: Cough, Discharge, Fatigue, Nasopharyngitis, Rhinorrhoea — Feeling: FairFree text: Cold, runny nose, drainage, cough, fatigueMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-26
Survey response — 6 months, dose 2MedDRA: Benign lymph node neoplasm, Headache, Neck mass — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Occasional headaches, lump in neck (diagnosed lymph node, most likely benign. Biopsy to come.MedDRA releases: 2024-11 · check-in free text available
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2021-10-26
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-10-28
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2022-04-29
Survey response — 12 months, dose 2MedDRA: COVID-19, Pregnancy — 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: COVID and pregnancyMedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Report sent to call center — 12 months, dose 2Be 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)
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2022-05-03
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-10-26 | Successful | Participant prefers to complete VAERS report online |
| 2022-04-29 | Successful 2022-05-03 |
Participant prefers to complete VAERS report online |
Free text
Release 7 — day 14, dose 1
Symptoms: Headache, anxiety
Release 8 — day 35, dose 2
Symptoms: Periodic headaches... I don't typically get headaches.
Release 9 — 3 months, dose 2
Symptoms: Cold, runny nose, drainage, cough, fatigue
Release 10 — 6 months, dose 2
Symptoms: Occasional headaches, lump in neck (diagnosed lymph node, most likely benign. Biopsy to come.
Release 11 — 12 months, dose 2
Symptoms: COVID and pregnancy
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Benign lymph node neoplasm | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Discharge | ✓ | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Neck mass | · | · | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release