ZEK-16700-10715
3 vaccinations
3 coded responses
29 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 981 / WA
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains, Muscle or body achesAdult check-in
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Survey response — days 1–6 daily, dose 3MedDRA: Dyspnoea — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Mild shortness of breathMedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-26
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Diarrhoea, Dizziness, Fatigue, Injection site pain, Malaise, Pyrexia — Feeling: Good · Site: Pain · DiarrheaFree text: Yesterday I missed reporting due to the combination of feeling Ill & thanksgiving day. I felt feverish, chilled, bad diarrhea, fatigue, dizziness, site pain on my armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-13
- 2021-12-20
- 2021-12-29
- 2022-01-03
- 2022-02-21
- 2022-05-23
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2022-11-22
Survey response — 12 months, dose 3MedDRA: COVID-19, Loss of personal independence in daily activities — Feeling: Good · Be unable to work or attend school, 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: Has covid end of aug/early sept. Symptoms lasted for 3-4 weeks before I felt like I could do normal activities again.MedDRA releases: 2024-11 · check-in free text available
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2022-11-22
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-11-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-22 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Mild shortness of breath
Systemic reaction (other): Yesterday I missed reporting due to the combination of feeling Ill & thanksgiving day. I felt feverish, chilled, bad diarrhea, fatigue, dizziness, site pain on my arm
Release 12 — 12 months, dose 3
Symptoms: Has covid end of aug/early sept. Symptoms lasted for 3-4 weeks before I felt like I could do normal activities again.
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 | COVID-19 | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release