ZL8-33791-91835
5 vaccinations
6 coded responses
41 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 245 / VA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-20
Registered in v-safe
-
2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal distension, Abdominal pain, Diarrhoea, Flatulence, Nausea — Feeling: Fair · Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Not sure if I have had a gastroenteritis since injection. Gas, abdominal cramping, bloating, nausea, diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-05-18
Survey response — 3 months, dose 2MedDRA: Lymph node pain, Lymphadenopathy, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Swollen/tender left axillary lymph nodes and breast for 2 wks. Saw PCP. Seeing GYN tomorrow. Mammogram 6/23, possibly diagnostic mammogram before then. · Healthcare visit (other): PCP today. GYN tomorrow. ? diagnostic mammogram soon. Regularly scheduled mammogram 6/23.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-17
-
2021-10-22
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Pain in extremity — Feeling: Good · Muscle or body achesFree text: Sore arm and breast a little soreMedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Breast pain, Breast tenderness, Pain in extremity, Tenderness — Feeling: GoodFree text: Arm and breast soreness/tendernessMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-29
Survey response — day 7, dose 3MedDRA: Muscle spasms — Feeling: GoodFree text: Having feet & leg cramping at night. Not sure if related.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-04-22
-
2022-05-13
Dose 4 — Moderna
-
2022-09-29
Dose 5 — Pfizer-BioNTech
- 2022-10-07
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-12
- 2022-12-29
-
2023-03-30
Survey response — 6 months, dose 5MedDRA: Dizziness, Knee arthroplasty, Medical counselling — Feeling: Fair · Get care from a doctor or other healthcare professionalMedDRA releases: 2024-11
-
2023-03-30
Report sent to call center — 6 months, dose 5Get care from a doctor or other healthcare professional1 call case(s)
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-13 | Moderna | No |
| 5 | 2022-09-29 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-18 | Successful 2022-04-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2023-03-30 | Unsuccessful |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Not sure if I have had a gastroenteritis since injection. Gas, abdominal cramping, bloating, nausea, diarrhea.
Release 8 — 3 months, dose 2
Symptoms: Swollen/tender left axillary lymph nodes and breast for 2 wks. Saw PCP. Seeing GYN tomorrow. Mammogram 6/23, possibly diagnostic mammogram before then.
Healthcare visit (other): PCP today. GYN tomorrow. ? diagnostic mammogram soon. Regularly scheduled mammogram 6/23.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore arm and breast a little sore
Systemic reaction (other): Arm and breast soreness/tenderness
Release 10 — day 7, dose 3
Systemic reaction (other): Having feet & leg cramping at night. Not sure if related.
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 | Medical counselling | · | · | ✓ |
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Knee arthroplasty | · | · | ✓ |
| SD | Lymph node pain | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Abdominal distension | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Breast pain | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release