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ZGC-16907-99532

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
800 / CO
Registered
2021-03-21
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-22
    Dose 2 — Moderna
  3. 2021-03-21
    Registered in v-safe
  4. 2021-03-21
    Survey response — day 21, dose 2
    MedDRA: Chills, Fatigue, Flushing, Headache, Nausea, Vaccination site pain, Vaccination site rash, Vaccination site swelling — Feeling: Fair · Be unable to do your normal daily activities
    Free text: This is 1st checkin.Side effects after the 2/22 vaccine were pain,rash,swelling at vaccine site, headache, nausea, fatigue,chills/flushing.After @ 2 days, only fatigue remained until 3/19 when nausea, chills/flushing returned.So far,nausea this am.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-22
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  6. 2021-03-29
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  7. 2021-04-05
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  8. 2021-05-25
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Achy backA digestive issue not responding to a usual otc treatment.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-25
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  10. 2021-08-23
    Survey response — 6 months, dose 2
    MedDRA: Cough, Throat irritation — Feeling: Good
    Free text: Irritated throat and cough.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2022-02-25
    Survey response — 12 months, dose 2
    MedDRA: Bone pain, Cough, Diarrhoea, Energy increased, Fatigue, Headache, Malaise, Pain, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit
    Free text: Shooting pains: in head before symptoms of diarrhea,fatigue,sick,cough with uncontrolled energy after(Sept 2021)in abdomen before sick again(Jan 2022)Covid?; in neck with spots of skull pain(Feb 2022)
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-02-25
    Report sent to call center — 12 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
  13. 2022-03-02
    Call successful
    Participant prefers to complete VAERS report online

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-05-25 Successful Participant prefers to complete VAERS report online
2022-02-25 Successful
2022-03-02
Participant prefers to complete VAERS report online

Free text

Release 6 — day 21, dose 2

2021-03-21

Symptoms: This is 1st checkin.Side effects after the 2/22 vaccine were pain,rash,swelling at vaccine site, headache, nausea, fatigue,chills/flushing.After @ 2 days, only fatigue remained until 3/19 when nausea, chills/flushing returned.So far,nausea this am. cut off by CDC

Release 8 — 3 months, dose 2

2021-05-25

Symptoms: Achy backA digestive issue not responding to a usual otc treatment.

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Irritated throat and cough.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Shooting pains: in head before symptoms of diarrhea,fatigue,sick,cough with uncontrolled energy after(Sept 2021)in abdomen before sick again(Jan 2022)Covid?; in neck with spots of skull pain(Feb 2022)

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

FieldPreferred term2021-092023-042024-11
SDBack pain ✓ ✓ ✓
SDBone pain · · ✓
SDChills ✓ ✓ ✓
SDCough ✓ · ✓
SDDiarrhoea · · ✓
SDEnergy increased · · ✓
SDFatigue ✓ ✓ ✓
SDFlushing ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMalaise · · ✓
SDNausea ✓ ✓ ✓
SDPain · · ✓
SDThroat irritation ✓ · ✓
SDUnevaluable event · · ✓
SDVaccination site pain ✓ ✓ ✓
SDVaccination site rash ✓ ✓ ✓
SDVaccination site swelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release