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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

  1. 2021-02-08
    Dose 1 — Moderna
  2. 2021-02-09
    Registered in v-safe
  3. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  6. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-22
    Survey response — day 14, dose 1
    MedDRA: Self-medication, Vaccination site erythema, Vaccination site induration, Vaccination site pain, Vaccination site pruritus — Feeling: Fair
    Free 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 redness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-08
    Dose 2 — Moderna
  12. 2021-03-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  14. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  15. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-12
    Survey response — day 35, dose 2
    MedDRA: 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 visit
    Free 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
  23. 2021-04-12
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  24. 2021-04-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-07
    Survey response — 3 months, dose 2
    MedDRA: 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 visit
    Free text: Sinus infection with fever; requiring antibiotics
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-07
    Report sent to call center — 3 months, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-09-04
  28. 2021-09-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-03-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-08Moderna
22021-03-08Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-04-12 Unsuccessful
2021-06-07 Unsuccessful

Free text

Release 4 — day 14, dose 1

2021-02-22

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

2021-04-12

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

2021-06-07

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

FieldPreferred term2021-092023-042024-11
SDPyrexia ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SDVaccination site erythema ✓ ✓ ✓
SDVaccination site induration ✓ ✓ ✓
SDVaccination site pain ✓ ✓ ✓
SDVaccination site pruritus ✓ ✓ ✓

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