ZRL-92104-40754
4 vaccinations
4 coded responses
51 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 482 / MI
- Registered
- 2021-02-20
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-19
Dose 1 — Moderna
-
2021-02-20
Registered in v-safe
-
2021-02-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-28
- 2021-03-05
- 2021-03-12
-
2021-03-19
Dose 2 — Moderna
- 2021-03-19
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-06-18
-
2021-09-17
Survey response — 6 months, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to do your normal daily activitiesFree text: Nothing related to COVID-19 just issues with my right leg knee areaMedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Dose 3 — Moderna
- 2021-10-31
-
2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Fair · Site: PainFree text: Soreness to the arm of the shotMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-29
- 2021-12-05
-
2021-12-12
Survey response — day 42, dose 3MedDRA: Pre-existing disease, Rheumatoid arthritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Rheumatoid Arthritis flare in legsMedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
-
2022-04-29
Dose 4 — Moderna
- 2022-05-01
-
2022-05-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-02
- 2022-05-03
- 2022-05-05
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-29
- 2022-06-03
- 2022-06-12
- 2022-07-29
- 2022-10-28
-
2023-04-29
Survey response — 12 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-04-29
Report sent to call center — 12 months, 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 · 1 call case(s)
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-19 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-04-29 | Unsuccessful |
Free text
Release 9 — 6 months, dose 2
Symptoms: Nothing related to COVID-19 just issues with my right leg knee area
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness to the arm of the shot
Release 10 — day 42, dose 3
Symptoms: Rheumatoid Arthritis flare in legs
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 | COVID-19 | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rheumatoid arthritis | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release