ZLT-44455-98354
4 vaccinations
3 coded responses
40 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 891 / NV
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Registered in v-safe
-
2021-02-19
Dose 1 — Moderna
- 2021-02-19
-
2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Headache, Pain in extremity, Vomiting — Feeling: Good · Headache, Vomiting, DiarrheaFree text: I had a minor occurrence during the night. I had diarrhea an threw up, but just that once and nothing since. I have a slight headache but I do get them often. Weird, but I got the shot in my right arm and yet there is some, a little, soreness in my left arm where a couple of months ago I had a pneumonia shot that was troublesome at that time. I'm pretty sure it's nothing but I did want to mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
- 2021-09-17
-
2021-10-27
Dose 3 — Pfizer-BioNTech
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-18
-
2021-11-24
Survey response — day 28, dose 3MedDRA: Fatigue, Feeling cold, Unevaluable event — Feeling: Poor · 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: Symptoms: I'm chilled and I'm very tired. I might have a urine infection, don't believe it has anything to do with Covid. I had a urine test today. · Healthcare visit (other): Quest urinary test.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-24
Report sent to call center — day 28, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-12-01
- 2021-12-08
- 2022-01-17
- 2022-01-26
-
2022-03-31
Dose 4 — Pfizer-BioNTech
- 2022-04-27
- 2022-05-14
- 2022-06-30
-
2022-09-30
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test positive — Feeling: GoodFree text: Tested positive for Covid on September 13th, never felt any symptoms. Gave it to my sister, she still is sick. I'm feeling fine.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-27 | Pfizer-BioNTech | No |
| 4 | 2022-03-31 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-24 | Unsuccessful |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I had a minor occurrence during the night. I had diarrhea an threw up, but just that once and nothing since. I have a slight headache but I do get them often. Weird, but I got the shot in my right arm and yet there is some, a little, soreness in my left arm where a couple of months ago I had a pneumonia shot that was troublesome at that time. I'm pretty sure it's nothing but I did want to mention it.
Release 10 — day 28, dose 3
Symptoms: I'm chilled and I'm very tired. I might have a urine infection, don't believe it has anything to do with Covid. I had a urine test today.
Healthcare visit (other): Quest urinary test.
Release 12 — 6 months, dose 4
Symptoms: Tested positive for Covid on September 13th, never felt any symptoms. Gave it to my sister, she still is sick. I'm feeling fine.
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 | Unevaluable event | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling cold | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release