ZA6-16158-12838
2 vaccinations
2 coded responses
5 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-01-14
- Relationship
- Self
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-14
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-16
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Decreased appetite, Diarrhoea, Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had a rough 3 days after the shot, but today has been good. There were chills diarrhea fatigue runny nose and no appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-16
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activitiesFree text: The first three days after the shot were rough for me. My husband experience no more than a bit of a sore spot at point of shot. Except for losing the senses of taste and smell, I experienced all the other side effects on the list for 3 days...all to a light degree, bit noticeable. Saturday morning I felt back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-18
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
-
2021-02-09
Dose 2 — Moderna
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
- 2021-02-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-14 | priority 2/3 | |
| 2021-01-16 | priority 2/3 | |
| 2021-01-18 | priority 2/3 |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): I had a rough 3 days after the shot, but today has been good. There were chills diarrhea fatigue runny nose and no appetite.
Systemic reaction (other): The first three days after the shot were rough for me. My husband experience no more than a bit of a sore spot at point of shot. Except for losing the senses of taste and smell, I experienced all the other side effects on the list for 3 days...all to a light degree, bit noticeable. Saturday morning I felt back to normal.
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 |
|---|---|---|---|---|
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release