ZHF-67684-11995
5 vaccinations
7 coded responses
66 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 341 / FL
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XU7-31867-98322
Child or adolescent in my care · Male · 2021-11-08
XUY-24989-69702
Child or adolescent in my care · Female · 2021-11-08
Timeline
-
2021-04-20
Registered in v-safe
-
2021-04-20
Dose 1 — Moderna
- 2021-04-20
-
2021-04-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Very slight headache in the morning that went away without any meds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-05-04
- 2021-05-11
-
2021-05-18
Dose 2 — Moderna
- 2021-05-18
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-20
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
- 2021-06-10
- 2021-06-15
-
2021-06-22
Survey response — day 35, dose 2MedDRA: Headache — Feeling: FairFree text: headache every dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-29
- 2021-08-17
- 2021-11-16
-
2021-12-01
Dose 3 — Moderna
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Good · 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
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Swollen underarm in injection sideMedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-04-08
Dose 4 — Moderna
-
2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2022-04-11
- 2022-04-12
- 2022-04-13
- 2022-04-14
- 2022-04-17
- 2022-04-22
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Oesophageal obstruction — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: blockage of esophagusMedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Report sent to call center — day 21, dose 4Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2022-05-03
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-07-08
Survey response — 3 months, dose 4MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Hypersomnia, SARS-CoV-2 test negative — Feeling: GoodFree text: Slight cough all day yesterday, light fatigue - had a nap and slept far more than usual. My 8 year old son tested positive for covid 2 days ago. I am caring for him. I am negative so far (2 RATs).MedDRA releases: 2024-11 · check-in free text available
-
2022-09-24
Dose 5 — Moderna
- 2022-09-24
-
2022-09-25
Survey response — days 1–6 daily, dose 5MedDRA: Lymphadenopathy, Oropharyngeal pain — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: slightly sore throat with swollen lymph nodes in neck (mild)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-26
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-09-27
Survey response — days 1–6 daily, dose 5MedDRA: Throat irritation — Feeling: GoodFree text: mild itchy throat - don't recall having this symptom before everMedDRA releases: 2024-11 · check-in free text available
- 2022-09-28
- 2022-09-30
- 2022-10-01
- 2022-10-08
- 2022-10-15
- 2022-10-22
- 2022-10-29
- 2022-11-07
- 2022-12-24
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-18 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-24 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-04-29 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Very slight headache in the morning that went away without any meds.
Release 9 — day 35, dose 2
Symptoms: headache every day
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen underarm in injection side
Release 11 — day 21, dose 4
Symptoms: blockage of esophagus
Release 12 — 3 months, dose 4
Symptoms: Slight cough all day yesterday, light fatigue - had a nap and slept far more than usual. My 8 year old son tested positive for covid 2 days ago. I am caring for him. I am negative so far (2 RATs).
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): slightly sore throat with swollen lymph nodes in neck (mild)
Systemic reaction (other): mild itchy throat - don't recall having this symptom before ever
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 | Cough | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Oesophageal obstruction | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Throat irritation | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release