ZPW-16085-58753
4 vaccinations
6 coded responses
46 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 592 / MT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-29
- 2021-01-31
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 42, dose 2MedDRA: Fatigue, Insomnia — Feeling: GoodFree text: Tired and not sleeping well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
- 2021-07-28
-
2021-11-09
Dose 3 — Moderna
- 2021-11-15
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
-
2022-02-08
Survey response — 3 months, dose 3MedDRA: Asthenia, Cough, Dizziness, Fatigue, Headache, Myalgia, Oropharyngeal pain, Pyrexia — 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 · Outpatient clinic or urgent care clinic visitFree text: Dizziness, headache, fever, sore throat, cough, muscle aches, fatigue, weaknessMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Report sent to call center — 3 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
-
2022-03-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
-
2022-05-10
Survey response — 6 months, dose 3MedDRA: COVID-19, Conjunctivitis allergic, Eye discharge, Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 1) Allergic conjunctivitis- severe 5/7/2022. Initially thought was bacterial conjunctivitis as had so much pus in my eyes. Never knew I had any allergies previously. 2) I am fatigued after COVID-19 on January 3rd and take a nap every day at lunch.MedDRA releases: 2024-11 · check-in free text available
-
2022-09-13
Dose 4 — Pfizer-BioNTech
-
2022-09-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-18
-
2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
- 2022-09-20
- 2022-09-27
-
2022-10-04
Survey response — day 21, dose 4MedDRA: Arthralgia, Fatigue, Myalgia, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More myalgia, arthralgia, fatigue then previous to vaccination. Long COVID symptoms had resolved for about a month until I got the BiValent vaccine. Arthalgias are similar to what I had after Shingrix vaccine.MedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — day 28, dose 4MedDRA: Adverse reaction, Inguinal hernia repair — Feeling: Fair · Be unable to work or attend schoolFree text: I had robotics assisted bilateral inguinal hernia repair last week on 10/6/2022. This has brought a whole new set of symptoms.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
-
2022-10-25
Survey response — day 42, dose 4MedDRA: Hernia repair, Inguinal hernia repair — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, HospitalizationFree text: Symptoms: Had hernia repair and that set off things. · Healthcare visit (other): Had robotic recurrent inguinal hernia repair.MedDRA releases: 2024-11 · check-in free text available
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2022-10-25
Report sent to call center — day 42, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Hospitalization · 1 call case(s)
-
2022-10-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
| 4 | 2022-09-13 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-08 | Successful 2022-03-24 |
Not applicable (accidental reporting or does not believe symptoms are related to vaccine) |
| 2022-10-25 | Successful 2022-10-26 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 42, dose 2
Symptoms: Tired and not sleeping well.
Release 11 — 3 months, dose 3
Symptoms: Dizziness, headache, fever, sore throat, cough, muscle aches, fatigue, weakness
Release 11 — 6 months, dose 3
Symptoms: 1) Allergic conjunctivitis- severe 5/7/2022. Initially thought was bacterial conjunctivitis as had so much pus in my eyes. Never knew I had any allergies previously. 2) I am fatigued after COVID-19 on January 3rd and take a nap every day at lunch. cut off by CDC
Release 12 — day 21, dose 4
Symptoms: More myalgia, arthralgia, fatigue then previous to vaccination. Long COVID symptoms had resolved for about a month until I got the BiValent vaccine. Arthalgias are similar to what I had after Shingrix vaccine.
Release 12 — day 28, dose 4
Symptoms: I had robotics assisted bilateral inguinal hernia repair last week on 10/6/2022. This has brought a whole new set of symptoms.
Release 12 — day 42, dose 4
Symptoms: Had hernia repair and that set off things.
Healthcare visit (other): Had robotic recurrent inguinal hernia repair.
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 | Inguinal hernia repair | · | · | ✓ |
| SD | Adverse reaction | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Conjunctivitis allergic | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Eye discharge | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hernia repair | · | · | ✓ |
| SD | Inguinal hernia repair | · | · | ✓ |
| SD | Insomnia | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release