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ZNA-31201-81776

2 vaccinations 4 coded responses 11 check-ins 4 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
305 / GA
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Registered in v-safe
  2. 2021-02-04
    Dose 1 — Moderna
  3. 2021-02-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-18
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Respiratory tract congestion, Somnolence, Upper-airway cough syndrome — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, head congestion, post nasal drip and just want to sleep all the time, which is pretty much all Ive done.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-25
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Headache, Nasal congestion, Somnolence — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Head congestion, headaches, fatigue, want to constantly sleep. I want to cancel my 2nd injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-04
    Dose 2 — Moderna
  11. 2021-03-04
    Survey response — day 0, dose 2
    MedDRA: Arthritis, Fibromyalgia — Feeling: Poor · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: I have Fibromyalgia, and Arthritis so its hard to tell If Covid vaccine is causing it to be worse or just bad fibromyalgia day. Pain is much worse tonight.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event, Office visit — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Systemic reaction (other): My normal temp is 97.2 so 99.8 is high for me. I saw doctor today. · Healthcare visit (other): I had routine appt already scheduled with my doctor today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-05
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  14. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-11-13
    Call successful
    Does not wish to fill out VAERS report

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-03-05 Successful
2021-11-13
Does not wish to fill out VAERS report

Free text

Release 4 — day 14, dose 1

2021-02-18

Symptoms: Fatigue, head congestion, post nasal drip and just want to sleep all the time, which is pretty much all Ive done.

Release 4 — day 21, dose 1

2021-02-25

Symptoms: Head congestion, headaches, fatigue, want to constantly sleep. I want to cancel my 2nd injection.

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): I have Fibromyalgia, and Arthritis so its hard to tell If Covid vaccine is causing it to be worse or just bad fibromyalgia day. Pain is much worse tonight.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): My normal temp is 97.2 so 99.8 is high for me. I saw doctor today.
Healthcare visit (other): I had routine appt already scheduled with my doctor today.

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasal congestion ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDUpper-airway cough syndrome ✓ ✓ ✓
SROArthritis ✓ ✓ ✓
SROFibromyalgia ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release