ZK4-13692-39562
4 vaccinations
7 coded responses
51 check-ins
5 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 662 / KS
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-08
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Self-medication — Feeling: Good · Site: Pain · Joint pains, Muscle or body achesFree text: I took naproxen 500 mg last night + this morning for the shoulder pain and it is helpingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Did not have to take pain medicine todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-01-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-01-17
- 2021-01-22
- 2021-01-29
- 2021-02-05
-
2021-02-09
Dose 2 — Moderna
-
2021-02-09
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to workAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-12-06
Dose 3 — Moderna
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Feeling cold, Hot flush — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Hot/cold flashes but no feverMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Head discomfort, Ocular discomfort — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: Head/eye pressure, almost like sinuses more than headacheMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-12-11
-
2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-01-10
- 2022-01-17
-
2022-03-07
Survey response — 3 months, dose 3MedDRA: Intermenstrual bleeding, Office visit, Vaccine positive rechallenge — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Period spotting - this happened after my original series too (shots in Jan and Feb 2021, spotting started in March and lingered a few months.. booster in Dec 2021 and spotting returned in Jan 2022). I'm on birth control and no previous spotting. · Healthcare visit (other): Assessed at annual well woman exam, no identified causeMedDRA releases: 2024-11 · check-in free text available
-
2022-03-07
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-03-09
- 2022-06-06
-
2022-11-11
Dose 4 — Pfizer-BioNTech
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-17
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-23
-
2023-02-10
Survey response — 3 months, dose 4MedDRA: Adverse reaction, Hyperhidrosis, Office visit, Reaction to previous exposure to any vaccine — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-02-10
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-02-13
- 2023-02-13
-
2023-05-12
Survey response — 6 months, dose 4MedDRA: Bronchitis, COVID-19, Chest discomfort, Fatigue, Headache, Menstruation delayed, Menstruation irregular, Pre-existing disease, SARS-CoV-2 test positive, Sinusitis, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-05-12
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-05-15
- 2023-05-15
- 2023-05-15
- 2023-05-17
- 2023-05-17
- 2023-05-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-06 | Moderna | No |
| 4 | 2022-11-11 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-03-07 | Unsuccessful | |
| 2023-02-10 | Unsuccessful | |
| 2023-05-12 | Unsuccessful |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): I took naproxen 500 mg last night + this morning for the shoulder pain and it is helping
Systemic reaction (other): Did not have to take pain medicine today
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Hot/cold flashes but no fever
Systemic reaction (other): Head/eye pressure, almost like sinuses more than headache
Release 11 — 3 months, dose 3
Symptoms: Period spotting - this happened after my original series too (shots in Jan and Feb 2021, spotting started in March and lingered a few months.. booster in Dec 2021 and spotting returned in Jan 2022). I'm on birth control and no previous spotting.
Healthcare visit (other): Assessed at annual well woman exam, no identified cause
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 | Adverse reaction | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hyperhidrosis | · | · | ✓ |
| SD | Intermenstrual bleeding | · | · | ✓ |
| SD | Menstruation delayed | · | · | ✓ |
| SD | Menstruation irregular | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Vaccine positive rechallenge | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Head discomfort | · | · | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Ocular discomfort | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release