ZB8-65014-37009
3 vaccinations
7 coded responses
37 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Neuralgia — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Occasional nerve pain, like a 1-2 second zing in a finger which is not normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Lower urinary tract symptoms, Micturition urgency — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessFree text: Frequent urge to urinate, sensation like a UTI. Cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-14
Survey response — days 1–6 daily, dose 1MedDRA: Micturition urgency, Urinary tract discomfort — Feeling: Good · Site: Pain, Redness · Fatigue or tirednessFree text: Frequent urge to urinate and discomfort during urination continueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-18
-
2021-03-27
Survey response — day 14, dose 1MedDRA: Fatigue, Nausea — Feeling: FairFree text: Nausea. TiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Constipation, Cystitis, Disturbance in attention — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: After the first shot severe constipation and bladder infection. Neither of those yet after second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Dizziness when bending over, stooping down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
-
2021-07-08
Survey response — 3 months, dose 2MedDRA: Office visit, Thyroid mass — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nodule on thyroid. Biopsy was done July 5. No results yet. No way to know if its related to the vaccine, but I would think not. I believe the vaccine to be safe and necessary and am glad I got it · Healthcare visit (other): I saw an endocrinologistMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-08
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-14
-
2021-07-20
Call successfulCompleted over the phone
- 2021-10-07
-
2021-12-01
Dose 3 — Moderna
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
- 2021-12-04
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
- 2022-06-01
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-07-08 | Successful 2021-07-20 |
Completed over the phone |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Occasional nerve pain, like a 1-2 second zing in a finger which is not normal for me.
Systemic reaction (other): Frequent urge to urinate, sensation like a UTI. Cough.
Systemic reaction (other): Frequent urge to urinate and discomfort during urination continue
Release 6 — day 14, dose 1
Symptoms: Nausea. Tired
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): After the first shot severe constipation and bladder infection. Neither of those yet after second shot.
Systemic reaction (other): Dizziness when bending over, stooping down.
Release 9 — 3 months, dose 2
Symptoms: Nodule on thyroid. Biopsy was done July 5. No results yet. No way to know if its related to the vaccine, but I would think not. I believe the vaccine to be safe and necessary and am glad I got it
Healthcare visit (other): I saw an endocrinologist
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Thyroid mass | ✓ | ✓ | ✓ |
| SRO | Constipation | ✓ | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Cystitis | ✓ | ✓ | ✓ |
| SRO | Disturbance in attention | ○ | ✓ | ○ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Lower urinary tract symptoms | ✓ | · | ✓ |
| SRO | Micturition urgency | ✓ | ✓ | ✓ |
| SRO | Neuralgia | ✓ | ✓ | ✓ |
| SRO | Urinary tract discomfort | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release