ZRC-25537-04402
5 vaccinations
4 coded responses
35 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 537 / WI
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Pfizer-BioNTech
-
2021-04-01
Dose 2 — Pfizer-BioNTech
-
2021-04-17
Registered in v-safe
- 2021-04-17
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
- 2021-09-30
-
2021-11-29
Dose 3 — Moderna
- 2022-04-01
-
2022-05-31
Dose 4 — Moderna
- 2022-05-31
-
2022-06-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-06-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-06-04
- 2022-06-05
-
2022-06-06
Survey response — days 1–6 daily, dose 4MedDRA: Migraine — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2024-11 · check-in free text available
-
2022-06-07
Survey response — day 7, dose 4MedDRA: Migraine — Feeling: Fair · Headache, Muscle or body achesFree text: Another migraine today. Caught it early with med this time so not as bad as yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-07-12
-
2022-08-30
Survey response — 3 months, dose 4MedDRA: Dysgeusia, Medical counselling, Office visit, Taste disorder — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: Very strong sour/bright taste in my mouth since mid June--about two months. Food tastes and smells normal. Dentist says probably will resolve on its own before too long. No known Covid infections and still masking in indoor public spaces. · Healthcare visit (other): Dentist--wanted to be sure they didn't see reason for concern. They didn't. Also notified doctor electronically.MedDRA releases: 2024-11 · check-in free text available
-
2022-08-30
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-31
-
2022-10-27
Dose 5 — ModernaCo-administered: Flu
-
2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-10
-
2022-11-17
Survey response — day 21, dose 5MedDRA: Headache — Feeling: GoodFree text: Mild headachesMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2023-01-28
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Pfizer-BioNTech | |
| 2 | 2021-04-01 | Pfizer-BioNTech | |
| 3 | 2021-11-29 | Moderna | No |
| 4 | 2022-05-31 | Moderna | No |
| 5 | 2022-10-27 | Moderna | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-08-30 | Unsuccessful |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Migraine
Release 11 — day 7, dose 4
Systemic reaction (other): Another migraine today. Caught it early with med this time so not as bad as yesterday.
Release 12 — 3 months, dose 4
Symptoms: Very strong sour/bright taste in my mouth since mid June--about two months. Food tastes and smells normal. Dentist says probably will resolve on its own before too long. No known Covid infections and still masking in indoor public spaces.
Healthcare visit (other): Dentist--wanted to be sure they didn't see reason for concern. They didn't. Also notified doctor electronically.
Release 12 — day 21, dose 5
Symptoms: Mild headaches
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 | Medical counselling | · | · | ✓ |
| HCVO | Office visit | · | · | ✓ |
| SD | Dysgeusia | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Taste disorder | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release