ZCV-18753-05808
6 vaccinations
7 coded responses
54 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 030 / NH
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
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2021-01-29
Dose 1 — Moderna
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2021-01-29
Survey response — day 0, dose 1MedDRA: Infusion, Multiple sclerosis, Pre-existing disease, Syncope, Systemic scleroderma — Feeling: GoodFree text: I have MS, Systemic Sleraderma, and Neuro Cardiogenic Syncope. Also I have a Rituxan infusion every 6 months. I was due to have my infusion February 18th but I am delaying it till two weeks after second vaccine per advice of doctorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-07
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
-
2021-08-16
Dose 3 — Moderna
- 2021-08-27
- 2021-11-15
-
2022-02-10
Dose 4 — Moderna
- 2022-02-14
-
2022-02-15
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · HeadacheFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-02-16
-
2022-02-17
Survey response — day 7, dose 4MedDRA: Sinus headache — Feeling: Good · HeadacheFree text: I have been having sinus headaches. Don't know if related to anyrhingMedDRA releases: 2024-11 · check-in free text available
- 2022-02-24
- 2022-03-03
- 2022-03-10
- 2022-03-17
- 2022-03-24
- 2022-05-12
-
2022-08-04
Dose 5 — Moderna
-
2022-08-12
Survey response — 6 months, dose 4MedDRA: Cough, Fatigue, Medical counselling, Pyrexia, SARS-CoV-2 test positive — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Tested positive for covid yesterda 102 temperature Bad cough Torltallyvwiped out · Healthcare visit (other): Called ms specialist an got paxlovidMedDRA releases: 2024-11 · check-in free text available
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2022-08-12
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-08-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-08-18
Survey response — day 14, dose 5MedDRA: Asthenia, COVID-19, Cough, Decreased appetite — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Got covid the 11th Energy and appetite are coming back but bad cough isn't any betterMedDRA releases: 2024-11 · check-in free text available
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2022-08-25
Survey response — day 21, dose 5MedDRA: Cough, Nasopharyngitis, Pyrexia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Spiked another fever and goat s a vheAdcold on top of the constant cough Got a second dos of paxlovid and a Zee Pam yesterday and the day priorMedDRA releases: 2024-11 · check-in free text available
- 2022-09-01
- 2022-09-08
- 2022-11-05
-
2023-02-02
Dose 6 — Moderna
- 2023-02-02
- 2023-02-02
-
2023-02-03
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2023-02-04
-
2023-02-05
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2023-02-06
Health check-in — days 1–6 daily, dose 6Feeling: Poor · Headache, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2023-02-07
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2023-02-08
Health check-in — days 1–6 daily, dose 6Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2023-02-11
- 2023-02-16
- 2023-02-23
- 2023-03-16
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-02-10 | Moderna | No |
| 5 | 2022-08-04 | Moderna | No |
| 6 | 2023-02-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-12 | Successful 2022-08-15 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): I have MS, Systemic Sleraderma, and Neuro Cardiogenic Syncope. Also I have a Rituxan infusion every 6 months. I was due to have my infusion February 18th but I am delaying it till two weeks after second vaccine per advice of doctor
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Release 11 — day 7, dose 4
Systemic reaction (other): I have been having sinus headaches. Don't know if related to anyrhing
Release 12 — 6 months, dose 4
Symptoms: Tested positive for covid yesterda 102 temperature Bad cough Torltallyvwiped out
Healthcare visit (other): Called ms specialist an got paxlovid
Release 12 — day 14, dose 5
Symptoms: Got covid the 11th Energy and appetite are coming back but bad cough isn't any better
Release 12 — day 21, dose 5
Symptoms: Spiked another fever and goat s a vheAdcold on top of the constant cough Got a second dos of paxlovid and a Zee Pam yesterday and the day prior
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 | Medical counselling | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Infusion | ○ | ✓ | ○ |
| SRO | Multiple sclerosis | ○ | ✓ | ○ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Sinus headache | · | · | ✓ |
| SRO | Syncope | ○ | ✓ | ○ |
| SRO | Systemic scleroderma | ○ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release