ZPG-10837-61135
4 vaccinations
16 coded responses
54 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 641 / MO
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
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2021-02-13
Dose 1 — Moderna
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2021-02-13
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: The muscle ache is in my injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: I did have to blow my nose when I got up which is not usual for me but cannot connect it to the vaccine.. in case that means do thing to you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: GoodFree text: Maybe not related, but per my fitbit testing heart rate up a littleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Thirst — Feeling: GoodFree text: My daily routine before CoVid vaccine was drinking lots of water but feel I need even more... guessing could be cold weather too but wanted to denote the dry feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
- 2021-03-06
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2021-03-13
Dose 2 — Moderna
- 2021-03-13
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: I have felt a little wired but perhaps went to bed too early last night and ... just took a nap.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: I slept better last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-04-24
- 2021-06-12
- 2021-09-11
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2021-10-28
Dose 3 — Moderna
- 2021-10-28
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-03
- 2021-11-04
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2021-11-11
Survey response — day 14, dose 3MedDRA: Heart rate increased — Feeling: GoodFree text: My Resting heart-rate has been elevatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-25
- 2021-12-04
- 2021-12-09
- 2022-01-27
- 2022-04-28
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2022-10-19
Dose 4 — Moderna
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2022-10-19
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: GoodFree text: Slight arm soreness where inoculatedMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Somewhat tired? slept longerMedDRA releases: 2024-11 · check-in free text available
- 2022-10-22
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2022-10-23
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: GoodFree text: Just a comment/question? I wonder if there has been a consideration for the dosage according to weight? I weigh ~115 but understand everyone gets the same dosage.MedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Feel normal today!MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: GoodFree text: Feeling goodMedDRA releases: 2024-11 · check-in free text available
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2022-10-26
Survey response — day 7, dose 4MedDRA: No adverse event — Feeling: GoodFree text: No ?.thanks for check inMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2022-11-23
- 2022-11-30
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2023-01-18
Survey response — 3 months, dose 4MedDRA: Cough, Ear pain, Malaise, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Unevaluable event — Feeling: GoodMedDRA releases: 2024-11
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2023-04-19
Survey response — 6 months, dose 4MedDRA: SARS-CoV-2 test positive, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
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2023-04-19
Report sent to call center — 6 months, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2023-04-20
Call successfulCompleted over the phone
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-13 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-10-19 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-19 | Successful 2023-04-20 |
Completed over the phone |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): The muscle ache is in my injection arm.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I did have to blow my nose when I got up which is not usual for me but cannot connect it to the vaccine.. in case that means do thing to you.
Systemic reaction (other): Maybe not related, but per my fitbit testing heart rate up a little
Systemic reaction (other): My daily routine before CoVid vaccine was drinking lots of water but feel I need even more... guessing could be cold weather too but wanted to denote the dry feeling
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I have felt a little wired but perhaps went to bed too early last night and ... just took a nap.
Systemic reaction (other): I slept better last night.
Release 10 — day 14, dose 3
Symptoms: My Resting heart-rate has been elevated
Release 12 — day 0, dose 4
Systemic reaction (other): No
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Slight arm soreness where inoculated
Systemic reaction (other): Somewhat tired? slept longer
Systemic reaction (other): Just a comment/question? I wonder if there has been a consideration for the dosage according to weight? I weigh ~115 but understand everyone gets the same dosage.
Systemic reaction (other): Feel normal today!
Systemic reaction (other): Feeling good
Release 12 — day 7, dose 4
Systemic reaction (other): No ?.thanks for check in
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 | Cough | · | · | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release