ZK9-17139-54353
3 vaccinations
5 coded responses
14 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 191 / PA
- Registered
- 2021-11-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-29
Dose 2 — Moderna
-
2021-11-29
Registered in v-safe
-
2021-11-30
Dose 3 — Moderna
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend schoolAdult check-in
- 2021-12-02
-
2021-12-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Lymphadenopathy — Feeling: Good · Site: Pain · HeadacheFree text: Swollen lymph nodes in armpit of injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Deep ache in arm of injection, swollen lymph nodes in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
- 2021-12-09
- 2021-12-16
- 2021-12-21
- 2021-12-28
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2022-01-06
Survey response — day 35, dose 3MedDRA: Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sore throat, headache, congestion, fatigue. Note: I am waiting on COVID-19 pcr results.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
- 2022-03-01
- 2022-05-31
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2022-11-30
Survey response — 12 months, dose 3MedDRA: Anosmia, Cough, Fatigue, Pain, Respiratory tract congestion — 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 · Telehealth, virtual health, or email health consultationFree text: Body aches, congestion, cough, loss of smell, fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-11-30
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | No |
| 2 | 2021-04-29 | Moderna | No |
| 3 | 2021-11-30 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-11-30 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes in armpit of injection site
Systemic reaction (other): Swollen lymph nodes in armpit of injected arm
Systemic reaction (other): Deep ache in arm of injection, swollen lymph nodes in armpit of injected arm
Release 10 — day 35, dose 3
Symptoms: Sore throat, headache, congestion, fatigue. Note: I am waiting on COVID-19 pcr results.
Release 12 — 12 months, dose 3
Symptoms: Body aches, congestion, cough, loss of smell, fatigue
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 | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release