ZFB-46766-80889
4 vaccinations
9 coded responses
49 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 606 / IL
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-28
Registered in v-safe
-
2021-02-28
Dose 1 — Moderna
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
-
2021-03-28
Dose 2 — Moderna
- 2021-03-28
- 2021-03-29
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Skin discolouration — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: During morning shower saw 3 small dots, probably a bruise, that havent seen before. Doesnt hurt or itch and is on my other arm (where I call the wing)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-11
-
2021-04-18
Survey response — day 21, dose 2MedDRA: Epistaxis, Upper-airway cough syndrome — Feeling: GoodFree text: A little blood when blowing nose.Post nasal drip.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-05-02
Survey response — day 35, dose 2MedDRA: Back pain, Headache, Neck pain — Feeling: FairFree text: neck and back pain, and slight headache, possibly from sleeping wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-06-27
-
2021-09-26
Survey response — 6 months, dose 2MedDRA: Dizziness — Feeling: FairFree text: Light headed, but could be from new supplement.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Dose 3 — Moderna
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
-
2021-12-04
Survey response — day 28, dose 3MedDRA: Dizziness — Feeling: GoodFree text: Lightheaded. Lasted about day and half.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-18
-
2022-02-05
Survey response — 3 months, dose 3MedDRA: Arthralgia, Erythema, Inflammation — Feeling: GoodFree text: Inflammation and pain at elbow. Redness on shin ( which has gotten better).MedDRA releases: 2024-11 · check-in free text available
-
2022-04-14
Dose 4 — Moderna
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-05-12
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2022-05-19
Survey response — day 35, dose 4MedDRA: Tension headache — Feeling: FairFree text: Could be tension/stress headache for last few days. My mother passed away Sunday night.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-07-14
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2022-10-13
Survey response — 6 months, dose 4MedDRA: Diarrhoea — Feeling: GoodFree text: A bout of diarrhea for a little more than a week.MedDRA releases: 2024-11 · check-in free text available
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2023-04-14
Survey response — 12 months, dose 4MedDRA: Rash, Rash erythematous, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-14
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-17
-
2023-04-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-14 | Successful 2023-04-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): During morning shower saw 3 small dots, probably a bruise, that havent seen before. Doesnt hurt or itch and is on my other arm (where I call the wing)
Release 7 — day 21, dose 2
Symptoms: A little blood when blowing nose.Post nasal drip.
Release 8 — day 35, dose 2
Symptoms: neck and back pain, and slight headache, possibly from sleeping wrong
Release 9 — 6 months, dose 2
Symptoms: Light headed, but could be from new supplement.
Release 10 — day 28, dose 3
Symptoms: Lightheaded. Lasted about day and half.
Release 11 — 3 months, dose 3
Symptoms: Inflammation and pain at elbow. Redness on shin ( which has gotten better).
Release 11 — day 35, dose 4
Symptoms: Could be tension/stress headache for last few days. My mother passed away Sunday night.
Release 12 — 6 months, dose 4
Symptoms: A bout of diarrhea for a little more than a week.
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 | Unevaluable event | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Epistaxis | ✓ | ✓ | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Inflammation | · | · | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash erythematous | · | · | ✓ |
| SD | Tension headache | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release