ZHE-27980-48829
4 vaccinations
4 coded responses
45 check-ins
3 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 617 / IL
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal pain — Feeling: GoodFree text: Yesterday I had a mild stabbing pain below my shoulder blade, on the left side all day. Likely NOT related, but unusual.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-12
- 2021-03-19
- 2021-03-25
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Nodule, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: On July 17 I discovered a 1 cm knot below my left cheek. I went to the doctor that day because it was very sore. The health provider said that I must have had a cold or other infection that settled there, but I hadnt had anything. Did an ultrasounMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Report sent to call center — 6 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-26
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Fatigue, Pain — Feeling: GoodFree text: I did have 100.2 temp. , chills, body aches, and major fatigue the day after my booster. By Monday I felt fabulous!!MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
-
2022-04-02
Dose 4 — Moderna
- 2022-04-15
- 2022-04-16
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
- 2022-10-01
-
2023-04-02
Survey response — 12 months, dose 4MedDRA: Non-alcoholic fatty liver, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-04-02
Report sent to call center — 12 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2023-04-04
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-08-19 | Unsuccessful | |
| 2023-04-02 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I had a mild stabbing pain below my shoulder blade, on the left side all day. Likely NOT related, but unusual.
Release 9 — 6 months, dose 2
Symptoms: On July 17 I discovered a 1 cm knot below my left cheek. I went to the doctor that day because it was very sore. The health provider said that I must have had a cold or other infection that settled there, but I hadnt had anything. Did an ultrasoun
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I did have 100.2 temp. , chills, body aches, and major fatigue the day after my booster. By Monday I felt fabulous!!
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 | Nodule | ✓ | · | ✓ |
| SD | Non-alcoholic fatty liver | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Musculoskeletal pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release