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ZA6-28232-77093

3 vaccinations 3 coded responses 20 check-ins 3 free-text entries 2 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
275 / NC
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-01
    Dose 1 — Moderna
  2. 2021-04-29
    Dose 2 — Moderna
  3. 2021-05-07
    Registered in v-safe
  4. 2021-05-07
    Health check-in — day 7, dose 2
    Feeling: Good · Abdominal pain
    Adult check-in
  5. 2021-05-13
    Survey response — day 14, dose 2
    MedDRA: Headache, Nasal congestion, Oropharyngeal pain, Rash pruritic — Feeling: Fair
    Free text: Itchy arm rash came back. (I had arm swelling and rash for several days after second dose) Sore throat, nasal congestion, headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-20
    Survey response — day 21, dose 2
    MedDRA: Cough, Fatigue, Headache, Office visit, Oropharyngeal pain, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Headache, cough, sore throat, crackle in my ear, tired · Healthcare visit (other): Primary care doctor appt at tent outside office
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-20
    Report sent to call center — day 21, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  8. 2021-05-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-12-03
    Dose 3 — Pfizer-BioNTech
  11. 2021-12-03
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Nausea
    Adult check-in
  12. 2021-12-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-12-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  14. 2021-12-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Headache, Joint pains, Abdominal pain
    Adult check-in
  15. 2021-12-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  16. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  17. 2021-12-10
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-12-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-12-24
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-12-31
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  21. 2022-01-07
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-14
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-03-06
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-04-28
  25. 2022-06-05
    Survey response — 6 months, dose 3
    MedDRA: Arterial spasm, Diarrhoea, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit
    Free text: Came down with covid symptoms May 4, tested positive May 6. Sore throat, congestion, headache, fever, achy, tired, diarrhea. Tested positive for 14 days, felt symptoms for much longer. May 25 had cardial arterial spasm and radial cathartization.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-06-05
    Report sent to call center — 6 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Emergency room or emergency department visit · 1 call case(s)
  27. 2022-06-06
  28. 2022-06-06
  29. 2022-12-05
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-29Moderna
32021-12-03Pfizer-BioNTech No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-20 Unsuccessful
2022-06-05 Unsuccessful

Free text

Release 8 — day 14, dose 2

2021-05-13

Symptoms: Itchy arm rash came back. (I had arm swelling and rash for several days after second dose) Sore throat, nasal congestion, headache

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Headache, cough, sore throat, crackle in my ear, tired
Healthcare visit (other): Primary care doctor appt at tent outside office

Release 11 — 6 months, dose 3

2022-06-05

Symptoms: Came down with covid symptoms May 4, tested positive May 6. Sore throat, congestion, headache, fever, achy, tired, diarrhea. Tested positive for 14 days, felt symptoms for much longer. May 25 had cardial arterial spasm and radial cathartization.

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
HCVOOffice visit ✓ ✓ ✓
SDArterial spasm · · ✓
SDCough ✓ ✓ ✓
SDDiarrhoea · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRash pruritic ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test positive · · ✓
SDTinnitus ✓ ✓ ✓

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

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