ZPM-51258-05213
3 vaccinations
5 coded responses
23 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 503 / IA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
-
2021-02-01
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
-
2021-02-19
Dose 2 — Moderna
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Good · Site: PainFree text: Dizzy for a while on the first day this is my 4th dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pain in extremity, Pyrexia — Feeling: GoodFree text: The first 2 days I had my 2nd shot I had a few symptoms like sore arm a little headache and a little bit of a fever. That was itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-05
- 2021-03-14
- 2021-03-19
- 2021-03-28
- 2021-04-02
- 2021-05-23
- 2021-08-22
-
2021-10-22
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: This is my 4th day after the vaccine. My symptoms lasted 2 days i would suggest you take the word today off your questioaireMedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-05
- 2021-11-14
- 2021-11-19
- 2021-11-28
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Influenza — Feeling: Fair · 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: The flu, i think. I was going to ge t a covid test but they canceled it on me and by the time i could get in again, it was to late to test for covidMedDRA releases: 2024-11 · check-in free text available
-
2022-01-21
Report sent to call center — 3 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)
-
2022-01-25
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-21 | Successful 2022-01-25 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): No
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy for a while on the first day this is my 4th day
Systemic reaction (other): The first 2 days I had my 2nd shot I had a few symptoms like sore arm a little headache and a little bit of a fever. That was it
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): This is my 4th day after the vaccine. My symptoms lasted 2 days i would suggest you take the word today off your questioaire
Release 11 — 3 months, dose 3
Symptoms: The flu, i think. I was going to ge t a covid test but they canceled it on me and by the time i could get in again, it was to late to test for covid
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 | Influenza | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release