ZCV-27382-18852
2 vaccinations
4 coded responses
25 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 704 / LA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Fever · Headache, Fatigue or tirednessFree text: Feel like I am coming down with something. Hoping it is just allergies as the pollen is bad. Have not felt right since the 2nd vaccine. Second guessing if I should have taken it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-11
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Specialist consultation — Feeling: Fair · Headache, Fatigue or tiredness · Get care from a doctor or other healthcare professionalFree text: Primary Care PhysicianMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-04-13
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-20
-
2021-07-06
Survey response — 3 months, dose 2MedDRA: Hypersensitivity — Feeling: GoodFree text: Lots of allergy symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2022-02-18
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-04-06
Survey response — 12 months, dose 2MedDRA: Herpes zoster, Medical counselling — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Came down with shingles. I have done much research on vaccine and shingles and see that an alarming number of people have come down with shingles after the vaccine. Not enough studies have been done on the vaccine. Definitely no booster for me. · Healthcare visit (other): Phone callMedDRA releases: 2024-11 · check-in free text available
-
2022-04-06
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2022-04-07
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-04-12 | Successful 2022-02-18 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-04-06 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Feel like I am coming down with something. Hoping it is just allergies as the pollen is bad. Have not felt right since the 2nd vaccine. Second guessing if I should have taken it.
Healthcare visit (other): Primary Care Physician
Release 9 — 3 months, dose 2
Symptoms: Lots of allergy symptoms.
Release 11 — 12 months, dose 2
Symptoms: Came down with shingles. I have done much research on vaccine and shingles and see that an alarming number of people have come down with shingles after the vaccine. Not enough studies have been done on the vaccine. Definitely no booster for me.
Healthcare visit (other): Phone call
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 | · | · | ✓ |
| HCVO | Specialist consultation | ✓ | ✓ | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release