ZC7-66911-21942
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 302 / GA
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
-
2021-03-22
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Forgot i had the shot!! Little tenderness at injection site on palpating but nothing Id call pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Fair · HeadacheFree text: Not pain, but tenderness at i he Rion site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-04-05
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Pruritus — Feeling: GoodFree text: Last Tuesday morning i started getting an itchy arm. No redness, no irritation. Just itchy at the area of injection site. Happened on and off for the last week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-19
Dose 2 — Moderna
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
-
2021-05-03
Survey response — day 14, dose 2MedDRA: Diarrhoea, Fatigue, Headache, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Congestion, sore throat, loose stool, fatigue. Took COVID test (rapid and PCR- both negative)I had a virtual healthcare visit to get approval for rapid COVID.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-07-21
- 2021-10-18
- 2022-04-15
- 2022-04-19
-
2022-04-20
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-03 | Successful 2022-04-20 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Forgot i had the shot!! Little tenderness at injection site on palpating but nothing Id call pain.
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Not pain, but tenderness at i he Rion site.
Release 6 — day 14, dose 1
Symptoms: Last Tuesday morning i started getting an itchy arm. No redness, no irritation. Just itchy at the area of injection site. Happened on and off for the last week.
Release 8 — day 14, dose 2
Symptoms: Congestion, sore throat, loose stool, fatigue. Took COVID test (rapid and PCR- both negative)I had a virtual healthcare visit to get approval for rapid COVID.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release