ZA6-33252-86698
4 vaccinations
5 coded responses
44 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 660 / KS
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain · HeadacheFree text: Neck a little stiffMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-31
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Injection site erythema, Injection site pruritus, Injection site swelling, Loss of personal independence in daily activities, Pain in extremity, Pyrexia — Feeling: Good · Site: Pain, SwellingFree text: Missed yesterday's checkin: due to low grade fever, extremely tired, very sore arm, red, swollen vaccination site and some itchiness there also. Definitely kept me from doing normal activities - symptoms were moderateMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-10
Survey response — day 14, dose 3MedDRA: Arthralgia, Arthritis, Office visit, X-ray abnormal — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Shoulder pain, got X-ray ( start of arthritis in joint) and received a steroid shot · Healthcare visit (other): Doctors office visitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-10
Report sent to call center — day 14, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalno matching call case
- 2021-11-17
- 2021-11-24
- 2021-12-01
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Arthritis, Dental caries, Dental examination, Fatigue, Headache, Office visit, Pre-existing disease, Somnolence — Feeling: FairFree text: Good weather has my arthritis bothering me more and dental visit and probing on a tooth going bad gave a headache, getting up too early has me tired and napping this afternoonMedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
-
2022-04-01
Dose 4 — Moderna
- 2022-04-24
- 2022-04-29
- 2022-05-06
- 2022-05-14
- 2022-07-03
- 2022-09-30
-
2023-04-01
Survey response — 12 months, dose 4MedDRA: COVID-19, Fatigue, Paranasal sinus hypersecretion, Pyrexia, Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-04-01
Report sent to call center — 12 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-01 | Unsuccessful |
1 report(s) with no call case — see the timeline.
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Neck a little stiff
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Missed yesterday's checkin: due to low grade fever, extremely tired, very sore arm, red, swollen vaccination site and some itchiness there also. Definitely kept me from doing normal activities - symptoms were moderate
Release 10 — day 14, dose 3
Symptoms: Shoulder pain, got X-ray ( start of arthritis in joint) and received a steroid shot
Healthcare visit (other): Doctors office visit
Release 10 — day 42, dose 3
Symptoms: Good weather has my arthritis bothering me more and dental visit and probing on a tooth going bad gave a headache, getting up too early has me tired and napping this afternoon
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 | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dental caries | · | · | ✓ |
| SD | Dental examination | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SD | X-ray abnormal | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release