ZG6-33474-42492
5 vaccinations
11 coded responses
55 check-ins
11 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 453 / OH
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
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2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Joint painsAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
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2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot, Sleep disorder — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Fatigue or tirednessFree text: Hot all night, awakened frequently, not good quality of sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-23
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2021-04-28
Survey response — day 35, dose 2MedDRA: Fatigue, Mobility decreased — Feeling: GoodFree text: Some fatigue, shoulder movement somewhat limited in ROM. Have my 6 mon physical next week and will ask doctor. Could be arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-06-23
- 2021-09-22
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2021-10-30
Dose 3 — Moderna
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, SwellingFree text: R arm where received injection , in armpit, feels like it is swollen for 2 days now.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Lymphadenopathy, Rhinorrhoea, Wheezing — Feeling: Good · Site: PainFree text: SWOLLEN LYMPH NODE UNDER R ARM . RUNNY NOSE AND DRY WHEEZY COUGH THAT MAY BE DUE TO ALLERGIESMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
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2021-11-06
Survey response — day 7, dose 3MedDRA: Blood glucose increased, Eosinophil count increased, Full blood count abnormal, Glycosylated haemoglobin increased, Proteinuria, Urine analysis abnormal — Feeling: GoodFree text: Recent UA. Protein in urine , CBC with elevated eosinophils, HgA1c 6.1 and fasting glucose 105MedDRA releases: 2024-11 · check-in free text available
- 2021-11-13
- 2021-11-20
- 2021-11-28
- 2021-12-06
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2021-12-11
Survey response — day 42, dose 3MedDRA: Condition aggravated, Hypoacusis, Office visit, Pre-existing disease — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Reduced hearing. I have otosclerosis and bones are more fixed with decreased hearing per recent hearing test. This is a drop in hearing since last year. May need coclear implant in future. · Healthcare visit (other): Routine yearly visitMedDRA releases: 2024-11 · check-in free text available
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2021-12-11
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-14
- 2022-01-29
- 2022-04-30
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2022-06-25
Dose 4 — Moderna
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2022-06-27
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tirednessFree text: Swollen lymph node under arm that received injectionMedDRA releases: 2024-11 · check-in free text available
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2022-06-29
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Joint painsFree text: Swelling under arm where injection is subsiding. Have been unusally tired this week but getting better.MedDRA releases: 2024-11 · check-in free text available
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2022-06-30
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Site: SwellingFree text: Very slight lymph node swelling in arm receiving injection. Has decreased throughout week.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-01
- 2022-07-02
- 2022-07-11
- 2022-07-16
- 2022-07-30
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2022-08-06
Survey response — day 42, dose 4MedDRA: Abdominal pain upper, Diarrhoea, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Watery diarrhea, headache and stomach ache.MedDRA releases: 2024-11 · check-in free text available
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2022-09-22
Dose 5 — Moderna
- 2022-09-24
- 2022-10-01
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
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2022-12-22
Survey response — 3 months, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had cold symptoms lasting 2 wks. Believe caught from granddaughter who was Influenza A positive the wk before and 2nd grandchild came down with fever while visiting. I Took covid antigen test and was negative.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-06-25 | Moderna | No |
| 5 | 2022-09-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-11 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Hot all night, awakened frequently, not good quality of sleep
Release 8 — day 35, dose 2
Symptoms: Some fatigue, shoulder movement somewhat limited in ROM. Have my 6 mon physical next week and will ask doctor. Could be arthritis.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): R arm where received injection , in armpit, feels like it is swollen for 2 days now.
Systemic reaction (other): SWOLLEN LYMPH NODE UNDER R ARM . RUNNY NOSE AND DRY WHEEZY COUGH THAT MAY BE DUE TO ALLERGIES
Release 10 — day 7, dose 3
Systemic reaction (other): Recent UA. Protein in urine , CBC with elevated eosinophils, HgA1c 6.1 and fasting glucose 105
Release 10 — day 42, dose 3
Symptoms: Reduced hearing. I have otosclerosis and bones are more fixed with decreased hearing per recent hearing test. This is a drop in hearing since last year. May need coclear implant in future.
Healthcare visit (other): Routine yearly visit
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph node under arm that received injection
Systemic reaction (other): Swelling under arm where injection is subsiding. Have been unusally tired this week but getting better.
Systemic reaction (other): Very slight lymph node swelling in arm receiving injection. Has decreased throughout week.
Release 12 — day 42, dose 4
Symptoms: Watery diarrhea, headache and stomach ache.
Release 12 — 3 months, dose 5
Symptoms: Had cold symptoms lasting 2 wks. Believe caught from granddaughter who was Influenza A positive the wk before and 2nd grandchild came down with fever while visiting. I Took covid antigen test and was negative.
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 | Abdominal pain upper | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoacusis | · | · | ✓ |
| SD | Mobility decreased | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Blood glucose increased | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Eosinophil count increased | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Full blood count abnormal | · | · | ✓ |
| SRO | Glycosylated haemoglobin increased | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Proteinuria | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Urine analysis abnormal | · | · | ✓ |
| SRO | Wheezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release