Z8B-26809-83402
5 vaccinations
9 coded responses
65 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 908 / CA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
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2021-03-15
Dose 1 — Moderna
- 2021-03-15
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2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-29
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2021-04-05
Survey response — day 21, dose 1MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: GoodFree text: Sore throat with submandibullar adenopathyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Dose 2 — Moderna
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Parosmia, Taste disorder — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessFree text: Sensitivity to odors and tasteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Fatigue or tirednessAdult check-in
- 2021-04-16
- 2021-04-17
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2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Throat irritation — Feeling: Fair · Fatigue or tiredness, NauseaFree text: Nasal congestion and scratchy throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
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2021-10-11
Survey response — 6 months, dose 2MedDRA: Bronchial irritation, Nasal congestion, Pain, Respiratory tract congestion — Feeling: GoodFree text: Sept 30-Oct 04 afebrile with moderate body aches, stuffy nose with congestion, bronchial irritation but in Long Beach, CA with numerous Environmental allergens present. No outside home trips during 14 days prior, only home delivery.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Dose 3 — Moderna
- 2021-11-03
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-09
- 2021-11-11
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-17
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2022-02-02
Survey response — 3 months, dose 3MedDRA: Ageusia, Anosmia, COVID-19, Medical counselling, Oropharyngeal pain, Respiratory symptom, SARS-CoV-2 test negative, Sinus congestion — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Dec 22-31st 2021 upper respiratory sx with loss of smell and taste. Unable to obtain test-email PCP consult said COVID due to altered taste and smel Jan 29-Current upper respiratory with sinus congestion and sore throat Covid QuickVue Feb 2 negativeMedDRA releases: 2024-11 · check-in free text available
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2022-02-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-03-31
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2022-04-20
Dose 4 — Moderna
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2022-04-20
Survey response — day 0, dose 4MedDRA: Flushing, Hyperhidrosis — Feeling: Good · Site: Pain · FeverFree text: Flushing of skin and sweating for first 2 hoursMedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Flushing, Pallor — Feeling: Fair · Site: Swelling · Fever · Fatigue or tiredness, DiarrheaFree text: General erythematous flush to extreme ties with blanchingMedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Atrial fibrillation, Tachycardia — Feeling: Good · Fatigue or tirednessFree text: 1 hour AFib vs Tachycardia 04/24/2022 from 6:40-7-50pm with HR from 140-171. Pending PCP responseMedDRA releases: 2024-11 · check-in free text available
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2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2022-04-27
- 2022-05-05
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2022-05-13
Survey response — day 21, dose 4MedDRA: Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative — Feeling: FairFree text: Currently have cold virus with fever and negative Covid home testsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
- 2022-10-19
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2022-10-27
Dose 5 — Moderna
- 2022-10-27
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2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body achesAdult check-in
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2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-30
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-07
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-02 | Unsuccessful |
Free text
Release 6 — day 21, dose 1
Symptoms: Sore throat with submandibullar adenopathy
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Sensitivity to odors and taste
Systemic reaction (other): Nasal congestion and scratchy throat
Release 10 — 6 months, dose 2
Symptoms: Sept 30-Oct 04 afebrile with moderate body aches, stuffy nose with congestion, bronchial irritation but in Long Beach, CA with numerous Environmental allergens present. No outside home trips during 14 days prior, only home delivery.
Release 11 — 3 months, dose 3
Symptoms: Dec 22-31st 2021 upper respiratory sx with loss of smell and taste. Unable to obtain test-email PCP consult said COVID due to altered taste and smel Jan 29-Current upper respiratory with sinus congestion and sore throat Covid QuickVue Feb 2 negative cut off by CDC
Release 11 — day 0, dose 4
Systemic reaction (other): Flushing of skin and sweating for first 2 hours
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): General erythematous flush to extreme ties with blanching
Systemic reaction (other): 1 hour AFib vs Tachycardia 04/24/2022 from 6:40-7-50pm with HR from 140-171. Pending PCP response
Release 11 — day 21, dose 4
Symptoms: Currently have cold virus with fever and negative Covid home tests
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Bronchial irritation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Medical counselling | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory symptom | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SRO | Atrial fibrillation | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pallor | · | · | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Tachycardia | · | · | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release