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Z84-61626-52487

3 vaccinations 2 coded responses 40 check-ins 2 free-text entries 1 call case
Sex
Female
Age at first dose
46-50
ZIP prefix
541 / WI
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Registered in v-safe
  2. 2021-02-25
    Dose 1 — Moderna
  3. 2021-02-25
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Dose 2 — Moderna
  14. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  17. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperaesthesia teeth, Photophobia — Feeling: Good · Site: Swelling
    Free text: My teeth with crowns are a little more sensitive to cold than usual. I also have noticed that my left eye is a little sensitive... which reminds me of what felt like before I got a bad cold a year ago. However, my eye seems less and less sensitive each day since I got my vaccine. Its getting better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  22. 2021-04-08
    Survey response — day 14, dose 2
    MedDRA: Herpes zoster — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I think I may have had a mild shingles outbreak. I had a small area on my back that felt like it was burning. My dermatologist looked at it and wasn't concerned and told me to come back if it got worse. It then blistered over the weekend and healed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-08
    Report sent to call center — day 14, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-05-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-10-29
    Dose 3 — Moderna
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fever · Chills
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-28
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-02-13
    Call successful
    Does not wish to fill out VAERS report
  45. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  46. 2022-10-29
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32021-10-29Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-04-08 Successful
2022-02-13
 Does not wish to fill out VAERS report

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): My teeth with crowns are a little more sensitive to cold than usual. I also have noticed that my left eye is a little sensitive... which reminds me of what felt like before I got a bad cold a year ago. However, my eye seems less and less sensitive each day since I got my vaccine. Its getting better.

Release 7 — day 14, dose 2

2021-04-08

Symptoms: I think I may have had a mild shingles outbreak. I had a small area on my back that felt like it was burning. My dermatologist looked at it and wasn't concerned and told me to come back if it got worse. It then blistered over the weekend and healed. cut off by CDC

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
SDHerpes zoster ✓ ✓ ✓
SROHyperaesthesia teeth ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓

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

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