ZAK-18057-21077
2 vaccinations
3 coded responses
23 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 310 / GA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-02-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 1MedDRA: Self-medication, Vaccination site erythema, Vaccination site induration, Vaccination site pain, Vaccination site pruritus — Feeling: FairFree text: Area of vaccination started itching two days ago. The area of redness enlarged around vaccination site to about 3 inches in diameter. Firmness in muscle where needle went in & seemed to become noticeably painful. Ibupro helped. Today Worse rednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Survey response — day 35, dose 2MedDRA: Pyrexia, Sinusitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinusitis with fever - my PCP said this was unusual. She wants to follow me closely when my body responds to disease. She thought my fever was from an overcharged immune response precipitated by this vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — day 35, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Pyrexia, Sinusitis — Feeling: Good · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Sinus infection with fever; requiring antibioticsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Report sent to call center — 3 months, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-09-04
- 2021-09-06
- 2022-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-12 | Unsuccessful | |
| 2021-06-07 | Unsuccessful |
Free text
Release 4 — day 14, dose 1
Symptoms: Area of vaccination started itching two days ago. The area of redness enlarged around vaccination site to about 3 inches in diameter. Firmness in muscle where needle went in & seemed to become noticeably painful. Ibupro helped. Today Worse redness
Release 7 — day 35, dose 2
Symptoms: Sinusitis with fever - my PCP said this was unusual. She wants to follow me closely when my body responds to disease. She thought my fever was from an overcharged immune response precipitated by this vaccination.
Release 8 — 3 months, dose 2
Symptoms: Sinus infection with fever; requiring antibiotics
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 | Pyrexia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SD | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site induration | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SD | Vaccination site pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release