ZFN-46024-32953
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 296 / SC
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Fever · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Herpes simplex, Herpes zoster reactivation, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had an attack of herpes vosterthe first attack in three yearsafter my last check-in. I was prescribed Famvir (500mg. twice a day for 7 days).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Self-medication — Feeling: Fair · Fever · Fatigue or tirednessFree text: My fever began 2/25 at 6 pm and was relieved by Tylenol.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Diarrhoea, Self-medication — Feeling: Good · DiarrheaFree text: About 6 pm on 2/27, had diarrhea which was controlled with Umodium.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
-
2021-03-10
Survey response — day 14, dose 2MedDRA: Arthralgia, Back pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pain in back of right kneeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
-
2021-08-25
Survey response — 6 months, dose 2MedDRA: Cough, Kidney infection, SARS-CoV-2 test negative, Sinusitis — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Started with kidney infection mid/July. When 14 days of Cipro didnt clear problem, took Clindamycin for 7 days. On day 2 of that antibiotic, developed a severe sinus infection and deep cough. Chest X-Ray and COVID tests both negative. Not well yetMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-25
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-06
-
2022-02-24
Survey response — 12 months, dose 2MedDRA: Hip arthroplasty, Hospitalisation, Office visit — 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 professionalFree text: Symptoms: I had a left total hip replacement · Healthcare visit (other): Hospital and Doctor's officeMedDRA releases: 2024-11 · check-in free text available
-
2022-02-24
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2022-02-28
-
2022-02-28
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-25 | Successful | Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-02-24 | Successful 2022-02-28 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 4 — day 14, dose 1
Symptoms: I had an attack of herpes vosterthe first attack in three yearsafter my last check-in. I was prescribed Famvir (500mg. twice a day for 7 days).
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My fever began 2/25 at 6 pm and was relieved by Tylenol.
Systemic reaction (other): About 6 pm on 2/27, had diarrhea which was controlled with Umodium.
Release 5 — day 14, dose 2
Symptoms: Pain in back of right knee
Release 9 — 6 months, dose 2
Symptoms: Started with kidney infection mid/July. When 14 days of Cipro didnt clear problem, took Clindamycin for 7 days. On day 2 of that antibiotic, developed a severe sinus infection and deep cough. Chest X-Ray and COVID tests both negative. Not well yet
Release 11 — 12 months, dose 2
Symptoms: I had a left total hip replacement
Healthcare visit (other): Hospital and Doctor's office
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 | Hospitalisation | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ○ |
| SD | Cough | ✓ | · | ✓ |
| SD | Herpes simplex | ✓ | · | ✓ |
| SD | Herpes zoster reactivation | ○ | ✓ | ○ |
| SD | Hip arthroplasty | · | · | ✓ |
| SD | Kidney infection | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sinusitis | ✓ | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release