ZET-76883-76667
5 vaccinations
4 coded responses
53 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 801 / CO
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: 7-8 days post Moderna vaccine #1 - I developed a red, slightly swollen, warm to touch, slightly itchy, slightly sore area at site of injection. Area grew in size for about 6 days to about 4+ and is now only a faded ring around the area. · Healthcare visit (other): Family PC did not have appointment available and asked me to go to Urgent Care to make sure it wasnt cellulitisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-04
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · FeverFree text: Each night since receiving the vaccine I have had night sweats. That continues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Survey response — day 35, dose 2MedDRA: Asthenia, Decreased appetite, Lymphadenopathy, Nausea, Night sweats — Feeling: Good · Be unable to do your normal daily activitiesFree text: Night sweats each night this past week x 7 nights, swollen sore glands in neck x 3-4 days, nausea, low appetite and decreased energy x 2-3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-06-11
-
2021-08-31
Call successfulParticipant prefers to complete VAERS report online
- 2021-09-08
-
2021-10-25
Dose 3 — Moderna
- 2021-10-26
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · ChillsAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-06
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-27
Dose 5 — Moderna
- 2022-10-03
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
-
2022-12-27
Survey response — 3 months, dose 5MedDRA: Cough, Nasopharyngitis, Pyrexia, Respiratory tract congestion — Feeling: FairFree text: Head cold, coughing, congestion, low grade feverMedDRA releases: 2024-11 · check-in free text available
- 2023-03-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-24 | Successful 2021-08-31 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 14, dose 1
Symptoms: 7-8 days post Moderna vaccine #1 - I developed a red, slightly swollen, warm to touch, slightly itchy, slightly sore area at site of injection. Area grew in size for about 6 days to about 4+ and is now only a faded ring around the area.
Healthcare visit (other): Family PC did not have appointment available and asked me to go to Urgent Care to make sure it wasnt cellulitis
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Each night since receiving the vaccine I have had night sweats. That continues.
Release 7 — day 35, dose 2
Symptoms: Night sweats each night this past week x 7 nights, swollen sore glands in neck x 3-4 days, nausea, low appetite and decreased energy x 2-3 days.
Release 12 — 3 months, dose 5
Symptoms: Head cold, coughing, congestion, low grade fever
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release