ZPA-32164-55812
5 vaccinations
8 coded responses
36 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 148 / NY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
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2021-01-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Had a little tingling in my hand of the arm I received the inoculation in, but that may be due to using my phone too much.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I thought you might want to know I had a live donor kidney transplant 7/15/2014MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Muscle or body achesFree text: Still think these are just weather related, but Im reporting.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-12
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
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2021-02-26
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: Im a live donor kidney transplant recipient 6 1/2 years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Dry skin, Pruritus — Feeling: Good · Fatigue or tirednessFree text: I was very itchy all over this morning. It lasted about an hour. Not sure if its dry skin weather or this was a result of the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
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2021-09-01
Dose 3 — Moderna
- 2021-12-01
- 2022-03-02
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2022-03-10
Dose 4 — Moderna
- 2022-04-14
- 2022-04-21
- 2022-06-09
- 2022-09-08
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2022-09-20
Dose 5 — Moderna
- 2022-10-15
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2022-10-18
Survey response — day 28, dose 5MedDRA: Cerumen impaction, Ear inflammation, Office visit — Feeling: FairFree text: Had an impaction of wax in my ears. Doctor removed, inflamed, using antibiotic drops for a week.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
- 2022-11-01
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2022-12-20
Survey response — 3 months, dose 5MedDRA: Irritable bowel syndrome, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My irritable bowel is really flaring up. Not to say this is because of the vaccine, but thought I should report it.MedDRA releases: 2024-11 · check-in free text available
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2023-03-21
Survey response — 6 months, dose 5MedDRA: Gastrointestinal viral infection — 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 · Emergency room or emergency department visitMedDRA releases: 2024-11
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2023-03-21
Report sent to call center — 6 months, dose 5Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
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2023-03-22
Call successfulDoes not wish to fill out VAERS report
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-03-10 | Moderna | No |
| 5 | 2022-09-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-21 | Successful 2023-03-22 |
Does not wish to fill out VAERS report |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Had a little tingling in my hand of the arm I received the inoculation in, but that may be due to using my phone too much.
Systemic reaction (other): I thought you might want to know I had a live donor kidney transplant 7/15/2014
Systemic reaction (other): Still think these are just weather related, but Im reporting.
Release 4 — day 0, dose 2
Systemic reaction (other): Im a live donor kidney transplant recipient 6 1/2 years.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I was very itchy all over this morning. It lasted about an hour. Not sure if its dry skin weather or this was a result of the vaccine.
Release 12 — day 28, dose 5
Symptoms: Had an impaction of wax in my ears. Doctor removed, inflamed, using antibiotic drops for a week.
Release 12 — 3 months, dose 5
Symptoms: My irritable bowel is really flaring up. Not to say this is because of the vaccine, but thought I should report it.
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 | Cerumen impaction | · | · | ✓ |
| SD | Ear inflammation | · | · | ✓ |
| SD | Gastrointestinal viral infection | · | · | ✓ |
| SD | Irritable bowel syndrome | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release