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ZDT-15231-53729

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
787 / TX
Registered
2021-01-11
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-09
    Dose 1 — Moderna
  2. 2021-01-11
    Registered in v-safe
  3. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Nausea
    Adult check-in
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  7. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Nausea — Feeling: Good
    Free text: One day(Wed)was nauseated all day. Have been having problems with one of my daily medicines. I think its my thyroid(Synthroid)medicine. Have had nausea with it before. My 6 mth appt is coming up soon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Dose 2 — Moderna
  11. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  12. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-18
    Dose 3 — Moderna
  15. 2021-10-26
    Survey response — day 7, dose 3
    MedDRA: Chills, Feeling cold, Headache, Injection site pain, Night sweats — Feeling: Good · Headache
    Free text: Injection week had occasional headaches,had nite sweats,sweated a lot about 3days, the other nites I sweated by not as much., no fever. Had chills the 1st day from about 5:00pm on, went to bed with chills & cold, no fever. Sore arm @ injection site
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-11-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  17. 2021-11-09
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-11-15
    Survey response — day 28, dose 3
    MedDRA: Urinary tract infection — Feeling: Good
    Free text: UTI
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-22
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-29
    Survey response — day 42, dose 3
    MedDRA: Urinary tract disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Still working on my urinary problems,
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-29
    Report sent to call center — day 42, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  22. 2021-11-30
  23. 2022-01-17
    Survey response — 3 months, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-01-17
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  25. 2022-01-18
  26. 2022-04-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna
32021-10-18Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-11-29 Unsuccessful
2022-01-17 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): No

Release 2 — day 14, dose 1

2021-01-23

Symptoms: One day(Wed)was nauseated all day. Have been having problems with one of my daily medicines. I think its my thyroid(Synthroid)medicine. Have had nausea with it before. My 6 mth appt is coming up soon.

Release 10 — day 7, dose 3

2021-10-26

Systemic reaction (other): Injection week had occasional headaches,had nite sweats,sweated a lot about 3days, the other nites I sweated by not as much., no fever. Had chills the 1st day from about 5:00pm on, went to bed with chills & cold, no fever. Sore arm @ injection site cut off by CDC

Release 10 — day 28, dose 3

2021-11-15

Symptoms: UTI

Release 10 — day 42, dose 3

2021-11-29

Symptoms: Still working on my urinary problems,

Release 10 — 3 months, dose 3

2022-01-17

Symptoms: Sore throat

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

FieldPreferred term2021-092023-042024-11
SDNausea ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDUrinary tract disorder · · ✓
SDUrinary tract infection · · ✓
SROChills · · ✓
SROFeeling cold · · ✓
SROHeadache · · ✓
SROInjection site pain · · ✓
SRONight sweats · · ✓
SRONo adverse event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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