ZPV-25200-07920
4 vaccinations
9 coded responses
44 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 427 / KY
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-06
Registered in v-safe
- 2021-01-06
- 2021-01-22
-
2021-01-25
Dose 2 — Moderna
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, DiarrheaAdult check-in
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · HeadacheAdult check-in
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-01-31
- 2021-02-02
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-04-26
- 2021-07-26
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body achesFree text: Along with fever last night 36 hours post injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
-
2021-11-29
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain — Feeling: FairFree text: Very sore throatMedDRA releases: 2024-11 · check-in free text available
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2021-12-06
Survey response — day 42, dose 3MedDRA: Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: FairFree text: Severe head congestion, headache and sore throat. Negative home COVID tedtMedDRA releases: 2024-11 · check-in free text available
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2022-01-24
Survey response — 3 months, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Last week of December I experienced a sore throat, and stuffy head diagnosed with a "sinus infection"MedDRA releases: 2024-11 · check-in free text available
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2022-01-24
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)
- 2022-01-27
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
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2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Pain in extremity, Peripheral coldness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Deep coldness pain to my toes and handsMedDRA releases: 2024-11 · check-in free text available
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2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: PainFree text: Swollen and sore underarm on side of injectionMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
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2022-04-24
Survey response — days 1–6 daily, dose 4MedDRA: Limb mass, Skin induration — Feeling: Good · Site: RednessFree text: Lump on arm hard knotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-04-26
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
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2022-07-22
Survey response — 3 months, dose 4MedDRA: Discomfort, Headache, SARS-CoV-2 test negative — Feeling: GoodFree text: My heart feels heavy. Experiencing headaches but COVID tests are negativeMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Survey response — 6 months, dose 4MedDRA: Chills, Headache, Peripheral coldness — Feeling: FairFree text: Headache, chills and cold hands and feet post COVID bivalent shot 10/14. Lasted 48-72 hoursMedDRA releases: 2024-11 · check-in free text available
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-01-24 | Unsuccessful |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Along with fever last night 36 hours post injection
Release 10 — day 35, dose 3
Symptoms: Very sore throat
Release 10 — day 42, dose 3
Symptoms: Severe head congestion, headache and sore throat. Negative home COVID tedt
Release 11 — 3 months, dose 3
Symptoms: Last week of December I experienced a sore throat, and stuffy head diagnosed with a "sinus infection"
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Deep coldness pain to my toes and hands
Systemic reaction (other): Swollen and sore underarm on side of injection
Systemic reaction (other): Lump on arm hard knot
Release 12 — 3 months, dose 4
Symptoms: My heart feels heavy. Experiencing headaches but COVID tests are negative
Release 12 — 6 months, dose 4
Symptoms: Headache, chills and cold hands and feet post COVID bivalent shot 10/14. Lasted 48-72 hours
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 | Chills | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral coldness | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Limb mass | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Skin induration | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release