ZCL-62642-09129
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 384 / TN
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-17
- 2021-03-04
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Muscle or body achesAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
-
2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 2MedDRA: Chest discomfort, Diarrhoea haemorrhagic, Mucous stools, Muscle spasms — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Had bad cramping and diarrhea followed by blood and mucus. Lasted only one night. A bit of tightness in chest cavityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Report sent to call center — day 14, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Chest discomfort, Pain in extremity — Feeling: FairFree text: Some chest discomfort and new pains in arm and leg. Going for colonoscopy and EGD on FridayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-06-09
Survey response — 3 months, dose 2MedDRA: Chest pain, Fatigue, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Fatigue some chest pain and problems with hand and arm · Healthcare visit (other): Made appointmentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-09
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-06-25
-
2021-09-08
Survey response — 6 months, dose 2MedDRA: Chest pain — Feeling: GoodFree text: Some mid-chest pain occasionallyMedDRA releases: 2024-11 · check-in free text available
-
2022-03-12
Survey response — 12 months, dose 2MedDRA: Cough, Cyst, Magnetic resonance imaging abnormal, Office visit, Oropharyngeal pain, Spondylitis — Feeling: Poor · 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: Currently sore throat, bad cough Had two mri's showing Arthritis in neck effecting arm and a sac with a cyst that rubs against spine Have appointments with two doctors regarding treatment for mri problems and an appointment with primary on Wed · Healthcare visit (other): Regular appointmentsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-12
Report sent to call center — 12 months, dose 2Be 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)
- 2022-03-17
-
2022-03-17
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-03-24 | Successful | Does not wish to fill out VAERS report |
| 2021-06-09 | Successful | Does not wish to fill out VAERS report |
| 2022-03-12 | Successful 2022-03-17 |
Does not wish to fill out VAERS report |
Free text
Release 6 — day 14, dose 2
Symptoms: Had bad cramping and diarrhea followed by blood and mucus. Lasted only one night. A bit of tightness in chest cavity
Release 7 — day 35, dose 2
Symptoms: Some chest discomfort and new pains in arm and leg. Going for colonoscopy and EGD on Friday
Release 8 — 3 months, dose 2
Symptoms: Fatigue some chest pain and problems with hand and arm
Healthcare visit (other): Made appointment
Release 9 — 6 months, dose 2
Symptoms: Some mid-chest pain occasionally
Release 11 — 12 months, dose 2
Symptoms: Currently sore throat, bad cough Had two mri's showing Arthritis in neck effecting arm and a sac with a cyst that rubs against spine Have appointments with two doctors regarding treatment for mri problems and an appointment with primary on Wed
Healthcare visit (other): Regular appointments
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 | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Cyst | · | · | ✓ |
| SD | Diarrhoea haemorrhagic | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Magnetic resonance imaging abnormal | · | · | ✓ |
| SD | Mucous stools | ✓ | ✓ | ✓ |
| SD | Muscle spasms | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Spondylitis | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release