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
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
-
2021-03-25
Survey response — day 0, dose 1MedDRA: 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 consultationFree 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. 3/29MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Report sent to call center — day 0, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Fatigue, Flushing, Headache, Impaired work ability, Pain in extremity, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
-
2021-04-15
Dose 2 — Moderna
- 2021-04-17
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2021-07-17
Survey response — 3 months, dose 2MedDRA: Office visit, Psoriasis — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Psoriasis exacerbated beginning April. · Healthcare visit (other): MD visitMedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-23
- 2021-10-14
-
2021-10-26
Dose 3 — Moderna
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Chills, Injection site pain, Myalgia — Feeling: Fair · HeadacheFree 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
- 2021-11-08
- 2021-12-07
- 2022-01-25
- 2022-04-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-25 | Unsuccessful | |
| 2021-07-17 | Unsuccessful |
Free text
Release 6 — day 0, dose 1
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
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
Release 10 — days 1–6 daily, dose 3
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Psoriasis | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Postmenopause | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release