ZNP-13669-44972
5 vaccinations
9 coded responses
41 check-ins
9 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 181 / PA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-19
- 2021-01-21
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-01-26
- 2021-02-01
- 2021-02-08
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2021-02-15
Dose 2 — Moderna
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2021-02-15
Health check-in — day 0, dose 2Feeling: Good · Fatigue or tiredness · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationAdult check-in
-
2021-02-15
Report sent to call center — day 0, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-20
- 2021-02-21
- 2021-02-22
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2021-03-01
Survey response — day 14, dose 2MedDRA: Arthralgia, Pain in extremity, Skin discolouration — Feeling: GoodFree text: Left ankle and foot in pain and dark. Believe its diabetes related, teleconference with Doctor in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Not vaccinated related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-15
- 2021-03-22
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2021-03-31
Survey response — day 42, dose 2MedDRA: Adverse reaction, Protein total abnormal — Feeling: GoodFree text: Protein caused by medication (Afinitor) which was discontinued this week. Watching numbers in kidney.@MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-08-03
- 2021-08-16
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2021-10-27
Dose 3 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Just tirednessMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
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2021-11-03
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-11
Dose 4 — Moderna
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2022-04-19
Survey response — day 7, dose 4MedDRA: Pain — Feeling: GoodFree text: Soreness for 5-6 days after shot, nothing to hinder my daily activity.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
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2022-05-02
Survey response — day 21, dose 4MedDRA: Dysphonia — Feeling: GoodFree text: Raspy voice for a while. Gargled with salt and water. Went away. Did go for a ride in the country. It was a beautiful day.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-16
- 2022-05-26
- 2022-07-12
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2022-10-07
Dose 5 — Moderna
- 2022-10-16
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-02-15 | Unsuccessful | |
| 2021-03-10 | Unsuccessful |
Free text
Release 4 — day 14, dose 2
Symptoms: Left ankle and foot in pain and dark. Believe its diabetes related, teleconference with Doctor in the morning.
Release 5 — day 21, dose 2
Symptoms: Not vaccinated related.
Release 6 — day 42, dose 2
Symptoms: Protein caused by medication (Afinitor) which was discontinued this week. Watching numbers in kidney.@
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just tiredness
Systemic reaction (other): No
Systemic reaction (other): None
Release 10 — day 7, dose 3
Systemic reaction (other): None
Release 11 — day 7, dose 4
Systemic reaction (other): Soreness for 5-6 days after shot, nothing to hinder my daily activity.
Release 11 — day 21, dose 4
Symptoms: Raspy voice for a while. Gargled with salt and water. Went away. Did go for a ride in the country. It was a beautiful day.
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 | Adverse reaction | ○ | ✓ | ○ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Protein total abnormal | ✓ | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release