ZDA-21888-15501
5 vaccinations
11 coded responses
65 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 327 / FL
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
-
2021-03-27
Registered in v-safe
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-04-23
Dose 2 — Moderna
-
2021-04-23
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessFree text: LightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Dizziness — Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Weak/lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-28
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-25
- 2021-10-24
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-24
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Chest discomfort, Cough — Feeling: Good · Site: PainFree text: A bit of tightness in the chest and a mild, occasional dry coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · HeadacheFree text: Very mild dry cough continuesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · HeadacheFree text: Continued mild dry coughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-15
- 2021-12-20
- 2021-12-29
- 2022-01-03
- 2022-02-23
-
2022-04-27
Dose 4 — Pfizer-BioNTech
-
2022-04-27
Survey response — day 0, dose 4MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Very slight lightheadedness, episodic, not enough to disrupt normal activityMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-27
-
2022-10-26
Survey response — 6 months, dose 4MedDRA: Brain fog, COVID-19, Chest discomfort, Cough, Fatigue, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive — Feeling: Good · 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 got Covid. I tested positive on 9/24. Mild fever, chest heaviness, congestion, fatigue for about three days, "Covid brain fog" and a lingering mild cough for about 3 weeks, still have vestiges of the cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-26
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-10-27
- 2022-11-01
-
2022-12-06
Dose 5 — Moderna
- 2022-12-06
-
2022-12-07
Survey response — days 1–6 daily, dose 5MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain, SwellingFree text: Poor sleepMedDRA releases: 2024-11 · check-in free text available
- 2022-12-09
-
2022-12-10
Survey response — days 1–6 daily, dose 5MedDRA: Dizziness, Feeling hot — Feeling: GoodFree text: Yesterday evening after check-in, I had a brief bout of feeling too warm and a bit lightheaded. It passed in 10 minutes or so.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-11
- 2022-12-12
- 2022-12-15
-
2022-12-27
Survey response — day 21, dose 5MedDRA: Chest discomfort, Cough, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fatigue, a bit of tightness in the chest and a mild cough, started yesterdayMedDRA releases: 2024-11 · check-in free text available
- 2023-01-03
- 2023-01-19
- 2023-03-07
- 2023-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-04-27 | Pfizer-BioNTech | No |
| 5 | 2022-12-06 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-26 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded
Release 7 — day 0, dose 2
Systemic reaction (other): Lightheaded
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Weak/lightheaded
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): A bit of tightness in the chest and a mild, occasional dry cough
Systemic reaction (other): Very mild dry cough continues
Systemic reaction (other): Continued mild dry cough
Release 11 — day 0, dose 4
Systemic reaction (other): Very slight lightheadedness, episodic, not enough to disrupt normal activity
Release 12 — 6 months, dose 4
Symptoms: I got Covid. I tested positive on 9/24. Mild fever, chest heaviness, congestion, fatigue for about three days, "Covid brain fog" and a lingering mild cough for about 3 weeks, still have vestiges of the cough.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Poor sleep
Systemic reaction (other): Yesterday evening after check-in, I had a brief bout of feeling too warm and a bit lightheaded. It passed in 10 minutes or so.
Release 12 — day 21, dose 5
Symptoms: Fatigue, a bit of tightness in the chest and a mild cough, started yesterday
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 | Brain fog | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release