ZH9-97239-05702
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 744 / OK
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-15
Report sent to call center — days 1–6 daily, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Survey response — day 28, dose 1MedDRA: Blood urine present, Dehydration, Influenza virus test negative, Office visit, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: I ran fever for 3 days weak and blood tinged urine. Believe it was a virus and I was dehydrated because I was negative for covid beg for flu and beg for strep so think it was just a bug so they are holding off my 2nd vaccine for a little longer · Healthcare visit (other): Employee health and we doc ordered flu,strep ans covid test all were negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
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)
-
2021-02-12
Dose 2 — Moderna
- 2021-02-19
- 2021-02-26
- 2021-03-07
- 2021-03-12
- 2021-03-26
- 2021-05-16
- 2021-07-20
-
2022-02-12
Survey response — 12 months, dose 2MedDRA: Asthenia, COVID-19, Pain, Pain of skin, Pyrexia, Unevaluable event — 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 professional · Emergency room or emergency department visitFree text: Covid 19 positive 2 weeks ago. Fever skin hurt body aches desat and weak. I'm better now but it lasted 9 daysMedDRA releases: 2024-11 · check-in free text available
-
2022-02-12
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 prEmergency room or emergency department visit · 1 call case(s)
- 2022-02-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-01-15 | priority 2/3 | |
| 2021-02-10 | Unsuccessful | |
| 2022-02-12 | Unsuccessful |
Free text
Release 4 — day 28, dose 1
Symptoms: I ran fever for 3 days weak and blood tinged urine. Believe it was a virus and I was dehydrated because I was negative for covid beg for flu and beg for strep so think it was just a bug so they are holding off my 2nd vaccine for a little longer
Healthcare visit (other): Employee health and we doc ordered flu,strep ans covid test all were negative
Release 11 — 12 months, dose 2
Symptoms: Covid 19 positive 2 weeks ago. Fever skin hurt body aches desat and weak. I'm better now but it lasted 9 days
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 | Influenza virus test negative | ✓ | ✓ | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Blood urine present | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dehydration | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release