ZRF-12733-03491
5 vaccinations
8 coded responses
52 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 329 / FL
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-10
Registered in v-safe
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-24
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Chest pain, Pre-existing disease — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I have a preexisting condition. My heart. I feel very weak and am experiencing mild chest pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Irritability — Feeling: GoodFree text: Irritability.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-05-04
Survey response — day 28, dose 2MedDRA: Asthenia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel weak.I had blood drawn today for a medical checkup in 2 days and it took a long time to fill two vials. I feel as though my blood pressure is low.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-11
-
2021-05-23
Survey response — day 42, dose 2MedDRA: Condition aggravated, Fatigue, Office visit, Pre-existing disease — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: I feel tired often. I had a preexisting heart issue from 2013, which seems to have been made slightly more of an issue. I started noticing this after my second dose. Perhaps a week out. Im still glad I got vaccinated. Thank you. · Healthcare visit (other): Office visit for follow up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-06
- 2021-10-07
-
2021-12-10
Dose 3 — Moderna
- 2022-04-09
- 2022-04-18
-
2022-05-23
Dose 4 — Moderna
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-06-27
- 2022-07-04
-
2022-10-07
Dose 5 — Pfizer-BioNTech
-
2022-10-07
Survey response — day 0, dose 5MedDRA: Somnolence — Feeling: Fair · Fatigue or tirednessFree text: SleepyMedDRA releases: 2024-11 · check-in free text available
-
2022-10-08
Survey response — days 1–6 daily, dose 5MedDRA: Diarrhoea — Feeling: GoodFree text: I forgot to mention I had diarrhea on the first day (yesterday).MedDRA releases: 2024-11 · check-in free text available
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Somnolence — Feeling: GoodFree text: SleepyMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-11
- 2022-10-12
-
2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Diarrhoea — Feeling: Good · Abdominal painFree text: This is my first Pfizer shot. The others were Moderna. I had mild loose stools during the past few days andMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-12-10 | Moderna | No |
| 4 | 2022-05-23 | Moderna | No |
| 5 | 2022-10-07 | Pfizer-BioNTech | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-23 | Unsuccessful |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have a preexisting condition. My heart. I feel very weak and am experiencing mild chest pains.
Systemic reaction (other): Irritability.
Release 8 — day 28, dose 2
Symptoms: I feel weak.I had blood drawn today for a medical checkup in 2 days and it took a long time to fill two vials. I feel as though my blood pressure is low.
Release 8 — day 42, dose 2
Symptoms: I feel tired often. I had a preexisting heart issue from 2013, which seems to have been made slightly more of an issue. I started noticing this after my second dose. Perhaps a week out. Im still glad I got vaccinated. Thank you.
Healthcare visit (other): Office visit for follow up.
Release 12 — day 0, dose 5
Systemic reaction (other): Sleepy
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): I forgot to mention I had diarrhea on the first day (yesterday).
Systemic reaction (other): Sleepy
Systemic reaction (other): This is my first Pfizer shot. The others were Moderna. I had mild loose stools during the past few days and
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 | Office visit | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Irritability | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release