Z5W-67713-25195
4 vaccinations
1 coded response
32 check-ins
1 free-text entry
1 call case
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-07
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-04-04
Dose 2 — Moderna
- 2021-04-04
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-19
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-07-06
- 2021-10-03
-
2021-11-29
Dose 3 — Moderna
- 2022-04-04
-
2022-05-30
Survey response — 6 months, dose 3MedDRA: COVID-19, Hypogeusia, Hyposmia, Nasal congestion, Office visit, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I contracted COVID a month ago and have had lingering symptoms. Mainly congestion, stuffy/runny nose, and muted taste and smell. · Healthcare visit (other): PCP wellness visitMedDRA releases: 2024-11 · check-in free text available
-
2022-05-30
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-01
-
2022-09-08
Dose 4 — Pfizer-BioNTech
- 2022-09-27
- 2022-09-29
- 2022-10-07
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-04 | Moderna | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-09-08 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-05-30 | Unsuccessful |
Free text
Release 11 — 6 months, dose 3
Symptoms: I contracted COVID a month ago and have had lingering symptoms. Mainly congestion, stuffy/runny nose, and muted taste and smell.
Healthcare visit (other): PCP wellness visit
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 | Office visit | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypogeusia | · | · | ✓ |
| SD | Hyposmia | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release