ZRM-30126-55666
4 vaccinations
2 coded responses
49 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 945 / CA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: I have been sleeping a lot since after the day of vaccine. Never thought anything about it not until my daughtet got hers and said she's been sleepy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-13
Dose 2 — Moderna
-
2021-04-13
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body achesAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-07-13
- 2021-10-12
-
2021-11-02
Dose 3 — Moderna
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-09
-
2021-11-18
Survey response — day 14, dose 3MedDRA: Eye discharge, Eye pruritus, Eye swelling, Ocular hyperaemia — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: My eyes were red, puffy and itchy. It has also some white stuff coming out of my eyes.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2021-11-19
-
2021-11-23
Health check-in — day 21, dose 3Feeling: FairFree text: My eyes are still bothering me. I was given drops by my eye doctor. It got better and then came back and after using new drops got better and it's back again. It's red, itchy and crusty.Adult check-in · check-in free text available
- 2021-12-01
- 2021-12-09
- 2021-12-14
- 2022-02-01
-
2022-04-15
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-21
- 2022-05-27
- 2022-07-15
- 2022-10-16
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-13 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-18 | Unsuccessful |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I have been sleeping a lot since after the day of vaccine. Never thought anything about it not until my daughtet got hers and said she's been sleepy.
Release 10 — day 14, dose 3
Symptoms: My eyes were red, puffy and itchy. It has also some white stuff coming out of my eyes.
Release 12 — day 21, dose 3
Symptoms: My eyes are still bothering me. I was given drops by my eye doctor. It got better and then came back and after using new drops got better and it's back again. It's red, itchy and crusty.
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 | Eye discharge | · | · | ✓ |
| SD | Eye pruritus | · | · | ✓ |
| SD | Eye swelling | · | · | ✓ |
| SD | Ocular hyperaemia | · | · | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release