ZFJ-39910-50916
1 vaccination
4 coded responses
12 check-ins
4 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 774 / TX
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Soreness on arm where I received injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Fair · HeadacheFree text: Mild, but just not 100%MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
-
2021-01-17
Survey response — day 7, dose 1MedDRA: Cough, Medical counselling, Rhinorrhoea, SARS-CoV-2 test — Feeling: Poor · Fever · Headache, Muscle or body aches · Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): Cough and nose running - spouse tested positive for COVID could be that is what is going on for me. Got tested yesterday. Waiting for results. Talked to my Doctor. · Healthcare visit (other): Phone call to my Doctor to discuss my husbands positive COVID test and see what actions I should take.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-17
Report sent to call center — day 7, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-01-26
- 2021-01-31
-
2021-02-09
Survey response — day 28, dose 1MedDRA: Medical counselling, SARS-CoV-2 test positive — Feeling: Good · Be unable to work, 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: Symptoms: Tested positive for COVID one week after first shot. · Healthcare visit (other): Antibody infusion at hospitalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-09
Report sent to call center — day 28, dose 1Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-02-14
- 2021-03-16
- 2021-04-13
- 2021-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-17 | Unsuccessful | |
| 2021-02-09 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness on arm where I received injection.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Mild, but just not 100%
Release 2 — day 7, dose 1
Systemic reaction (other): Cough and nose running - spouse tested positive for COVID could be that is what is going on for me. Got tested yesterday. Waiting for results. Talked to my Doctor.
Healthcare visit (other): Phone call to my Doctor to discuss my husbands positive COVID test and see what actions I should take.
Release 3 — day 28, dose 1
Symptoms: Tested positive for COVID one week after first shot.
Healthcare visit (other): Antibody infusion at hospital
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release