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Z7X-27945-81945

3 vaccinations 4 coded responses 10 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
349 / FL
Registered
2021-03-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Registered in v-safe
  2. 2021-03-25
    Dose 1 — Moderna
  3. 2021-03-25
    Survey response — day 0, dose 1
    MedDRA: Depression, Hot flush, Postmenopause, Pre-existing disease, Telemedicine — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Systemic reaction (other): My antidepressant appears to have stopped working completely. Symptoms of it not working showed up a few days ago and have progressed. Additionally, i am post menopausal, but have begun getting hot flashes again in the past few days. · Healthcare visit (other): Psychiatrist telehealth for Mon. 3/29
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-25
    Report sent to call center — day 0, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  5. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Flushing, Headache, Impaired work ability, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had 2nd shot yesterday. Sore arm, though not as bad as 1st shot. Very tired. Constant headache. Tylenol knocks it back somewhat. Feeling flushed in my face on & off since shot. Unable to do hh work yesterday, and slow going today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Dose 2 — Moderna
  7. 2021-04-17
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-07-17
    Survey response — 3 months, dose 2
    MedDRA: Office visit, Psoriasis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Symptoms: Psoriasis exacerbated beginning April. · Healthcare visit (other): MD visit
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-07-17
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-07-23
  11. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-10-26
    Dose 3 — Moderna
  13. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Chills, Injection site pain, Myalgia — Feeling: Fair · Headache
    Free text: Had a reaction for 48 hrs post booster. Felt joint & muscle pain, chills, arm soreness at injection site.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  17. 2022-04-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna
22021-04-15Moderna
32021-10-26Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-03-25 Unsuccessful
2021-07-17 Unsuccessful

Free text

Release 6 — day 0, dose 1

2021-03-25

Systemic reaction (other): My antidepressant appears to have stopped working completely. Symptoms of it not working showed up a few days ago and have progressed. Additionally, i am post menopausal, but have begun getting hot flashes again in the past few days.
Healthcare visit (other): Psychiatrist telehealth for Mon. 3/29

Release 7 — day 14, dose 1

2021-04-14

Symptoms: Had 2nd shot yesterday. Sore arm, though not as bad as 1st shot. Very tired. Constant headache. Tylenol knocks it back somewhat. Feeling flushed in my face on & off since shot. Unable to do hh work yesterday, and slow going today.

Release 9 — 3 months, dose 2

2021-07-17

Symptoms: Psoriasis exacerbated beginning April.
Healthcare visit (other): MD visit

Release 10 — days 1–6 daily, dose 3

2021-10-30

Systemic reaction (other): Had a reaction for 48 hrs post booster. Felt joint & muscle pain, chills, arm soreness at injection site.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
HCVOTelemedicine ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPsoriasis · · ✓
SDSelf-medication ✓ ✓ ✓
SROArthralgia · · ✓
SROChills · · ✓
SRODepression ✓ ✓ ✓
SROHot flush ✓ ✓ ✓
SROInjection site pain · · ✓
SROMyalgia · · ✓
SROPostmenopause ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release