Z9Q-15087-28703
2 vaccinations
2 coded responses
11 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 049 / ME
- Registered
- 2021-01-09
- Relationship
- Self
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
- 2021-01-22
-
2021-01-30
Survey response — day 21, dose 1MedDRA: Ex-tobacco user, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: FairFree text: I feel like i am getting a cold stuffy runny nose head fells congested. Slight sore throat. Started a couple of days ago. I am also trying to quit smoking. No tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — day 28, dose 1MedDRA: Cough, Dysphagia, Ear pain, Head discomfort, Malaise, Nasal congestion, Oropharyngeal pain, Productive cough, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Stuffy runny nose cough and spitting up flem. Ear ache soar throat hard to swallow. Pressure in my head. · Healthcare visit (other): I had a covid test on wednesday which came back negative. My dr recommended that i do not get the 2nd vaccine dose today as i am ill.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-05
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-16
-
2021-02-18
Dose 2 — Moderna
- 2021-07-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-05 | Unsuccessful |
Free text
Release 3 — day 21, dose 1
Symptoms: I feel like i am getting a cold stuffy runny nose head fells congested. Slight sore throat. Started a couple of days ago. I am also trying to quit smoking. No temp
Release 3 — day 28, dose 1
Symptoms: Stuffy runny nose cough and spitting up flem. Ear ache soar throat hard to swallow. Pressure in my head.
Healthcare visit (other): I had a covid test on wednesday which came back negative. My dr recommended that i do not get the 2nd vaccine dose today as i am ill.
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 | Malaise | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysphagia | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Ex-tobacco user | ✓ | ✓ | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release