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
-
2021-01-25
Dose 1 — Moderna
-
2021-02-22
Dose 2 — Moderna
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2021-03-21
Registered in v-safe
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2021-03-21
Survey response — day 21, dose 2MedDRA: Chills, Fatigue, Flushing, Headache, Nausea, Vaccination site pain, Vaccination site rash, Vaccination site swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
- 2021-03-22
- 2021-03-29
- 2021-04-05
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2021-05-25
Survey response — 3 months, dose 2MedDRA: Back pain, Gastrointestinal disorder — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree 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
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2021-05-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-08-23
Survey response — 6 months, dose 2MedDRA: Cough, Throat irritation — Feeling: GoodFree text: Irritated throat and cough.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2022-02-25
Survey response — 12 months, dose 2MedDRA: 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 visitFree 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
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2022-02-25
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-03-02
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Call center
| Reported | Outcome | VAERS-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
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
Symptoms: Achy backA digestive issue not responding to a usual otc treatment.
Release 9 — 6 months, dose 2
Symptoms: Irritated throat and cough.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Bone pain | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Energy increased | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Flushing | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Throat irritation | ✓ | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SD | Vaccination site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release