ZBK-16552-78855
4 vaccinations
3 coded responses
44 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 290 / SC
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Registered in v-safe
-
2021-03-19
Dose 1 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-04-16
Dose 2 — Moderna
- 2021-04-16
-
2021-04-17
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 work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-19
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-07-16
- 2021-10-15
-
2021-10-30
Dose 3 — Moderna
- 2021-10-30
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
-
2021-11-13
Survey response — day 14, dose 3MedDRA: Chest discomfort, Cough, Headache, Malaise, Oropharyngeal pain — Feeling: FairFree text: I think it's allergiesrough chest/slight cough, slight sore throat, headache, bleh-feelingMedDRA releases: 2024-11 · check-in free text available
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
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2022-01-29
Survey response — 3 months, dose 3MedDRA: Cough, Ear discomfort, Fatigue, Headache, Office visit, Oropharyngeal pain, Paranasal sinus discomfort, Rhinorrhoea, Sinus pain, Sleep disorder, Wheezing — 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 professionalFree text: Symptoms: Sore throat, runny nose, deep & persistent *cough*, wheezing, pressure in ears & sinuses, *headache*, sinuses hurt when breathing, exhaustion, sleep disruption PCR tests on day 4 and 11 both negative. Recovery lasted 5.5 weeks · Healthcare visit (other): PulmonologistMedDRA releases: 2024-11 · check-in free text available
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2022-01-29
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-02-02
-
2022-10-30
Survey response — 12 months, dose 3MedDRA: Cough, Fatigue, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Urticaria — 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 · Telehealth, virtual health, or email health consultationFree text: I tested positive for Covidsore throat, cough fever, exhaustion, headache, hives, etc.MedDRA releases: 2024-11 · check-in free text available
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2022-10-30
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-31
- 2022-10-31
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-10-31
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-21
Dose 4 — ModernaCo-administered: Shingles
- 2023-01-19
- 2023-01-25
- 2023-02-01
- 2023-03-22
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-12-21 | Moderna | Shingles |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-29 | Successful 2022-10-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-10-30 | Successful 2022-10-31 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 10 — day 14, dose 3
Symptoms: I think it's allergiesrough chest/slight cough, slight sore throat, headache, bleh-feeling
Release 11 — 3 months, dose 3
Symptoms: Sore throat, runny nose, deep & persistent *cough*, wheezing, pressure in ears & sinuses, *headache*, sinuses hurt when breathing, exhaustion, sleep disruption PCR tests on day 4 and 11 both negative. Recovery lasted 5.5 weeks
Healthcare visit (other): Pulmonologist
Release 12 — 12 months, dose 3
Symptoms: I tested positive for Covidsore throat, cough fever, exhaustion, headache, hives, etc.
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 | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Ear discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Sleep disorder | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release