ZNC-16605-15104
3 vaccinations
7 coded responses
41 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 017 / MA
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-03-27
Dose 2 — Moderna
- 2021-03-27
- 2021-03-28
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Good · Site: PainFree text: Chills yesterday after the check in for one hour or so. Temp just under 100, but dropped again after an hour or so.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
-
2021-04-10
Survey response — day 14, dose 2MedDRA: Myalgia, Somnolence — Feeling: FairFree text: Muscle aches and really sleepy during the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — day 21, dose 2MedDRA: Body temperature increased, Chills, Pain, Pyrexia, Somnolence — Feeling: GoodFree text: I had vaccine aftereffects like low grade fever, chills and body aches that started about Day 12 after 2nd shot and lasted til Day 16 or 17. My temp hit 100.5 the last day of that and after that I was fine. I could work, but fell asleep a few times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-24
- 2021-05-01
- 2021-05-08
-
2021-06-26
Survey response — 3 months, dose 2MedDRA: Ovarian cancer — 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 consultation, Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Ovarian cancerMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-26
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-01
-
2021-09-25
Survey response — 6 months, dose 2MedDRA: Ovarian cancer — 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 consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit, HospitalizationFree text: Ovarian cancerMedDRA releases: 2024-11 · check-in free text available
-
2021-09-25
Report sent to call center — 6 months, dose 2Be 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 · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · Hospitalization · 1 call case(s)
-
2021-09-28
Call successfulCompleted over the phone
-
2021-12-01
Dose 3 — Moderna
- 2021-12-01
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2021-12-03
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
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2022-03-02
Survey response — 3 months, dose 3MedDRA: Pneumonia — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Pneumonia, but not COVID pneumonia. Don't know how, but definitely not COVID.MedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
Report sent to call center — 3 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-03-23
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-06-01
-
2022-12-01
Survey response — 12 months, dose 3MedDRA: COVID-19, SARS-CoV-2 test positive — 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: COVID. Tested positive yesterday.MedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Report sent to call center — 12 months, 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)
- 2022-12-02
-
2022-12-02
Callback requested for03:30PM ET
-
2022-12-02
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna | |
| 2 | 2021-03-27 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-06-26 | Successful | Completed over the phone |
| 2021-09-25 | Successful 2021-09-28 |
Completed over the phone |
| 2022-03-02 | Successful 2022-03-23 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-12-01 | Successful 2022-12-02 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Chills yesterday after the check in for one hour or so. Temp just under 100, but dropped again after an hour or so.
Release 7 — day 14, dose 2
Symptoms: Muscle aches and really sleepy during the day.
Release 7 — day 21, dose 2
Symptoms: I had vaccine aftereffects like low grade fever, chills and body aches that started about Day 12 after 2nd shot and lasted til Day 16 or 17. My temp hit 100.5 the last day of that and after that I was fine. I could work, but fell asleep a few times. cut off by CDC
Release 9 — 3 months, dose 2
Symptoms: Ovarian cancer
Release 9 — 6 months, dose 2
Symptoms: Ovarian cancer
Release 11 — 3 months, dose 3
Symptoms: Pneumonia, but not COVID pneumonia. Don't know how, but definitely not COVID.
Release 12 — 12 months, dose 3
Symptoms: COVID. Tested positive yesterday.
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 | Body temperature increased | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Ovarian cancer | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release