ZRA-10476-36618
3 vaccinations
6 coded responses
38 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
- 2021-01-19
-
2021-01-20
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-13
-
2021-03-19
Survey response — day 21, dose 2MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
-
2021-05-28
Survey response — 3 months, dose 2MedDRA: Cough, Dizziness, Fatigue — Feeling: GoodFree text: Dizzy, intestinal symptoms, tired, coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-27
Survey response — 6 months, dose 2MedDRA: Neuralgia — Feeling: GoodFree text: Zapping of nerves in random areas of bodyMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-21
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Mobility decreased — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Day after full dose booster I was flat in my backMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: Feeling normal today. Yeah.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2022-01-20
- 2022-04-21
-
2022-10-21
Survey response — 12 months, dose 3MedDRA: Influenza, Patient isolation, SARS-CoV-2 test positive — 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: Tested positive COVID on July 9 the day departing Celebrity cruise from (b)(6) to (b)(6) to (b)(6). Started Paxlovid in day 3. On July 20 retested positive after 3 days of negative tests. Isolated for 22 days in July. Flu in early OctMedDRA releases: 2024-11 · check-in free text available
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2022-10-21
Report sent to call center — 12 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)
-
2022-10-24
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-21 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-10-21 | Successful 2022-10-24 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 5 — day 21, dose 2
Symptoms: Dizzy
Release 8 — 3 months, dose 2
Symptoms: Dizzy, intestinal symptoms, tired, cough
Release 9 — 6 months, dose 2
Symptoms: Zapping of nerves in random areas of body
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Day after full dose booster I was flat in my back
Systemic reaction (other): Feeling normal today. Yeah.
Release 12 — 12 months, dose 3
Symptoms: Tested positive COVID on July 9 the day departing Celebrity cruise from (b)(6) to (b)(6) to (b)(6). Started Paxlovid in day 3. On July 20 retested positive after 3 days of negative tests. Isolated for 22 days in July. Flu in early Oct
redacted (b)(6)
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 | Cough | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Neuralgia | ✓ | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release