ZRX-21173-90176
4 vaccinations
9 coded responses
35 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 321 / FL
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-02-16
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
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2021-03-30
Survey response — day 14, dose 2MedDRA: Diarrhoea, Nausea — Feeling: GoodFree text: Diarrhea and nausea 2 days ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-13
- 2021-09-16
-
2021-10-29
Dose 3 — Moderna
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: I have a cough at night. This started after I had the 2nd shot and comes and goes.MedDRA releases: 2024-11 · check-in free text available
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Flushing — Feeling: Fair · Fever · Fatigue or tirednessFree text: Feel flush like I have a fever but when I take my temp its normal.MedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Chromaturia — Feeling: Good · HeadacheFree text: My urine has been a dark yellow ever since the booster.MedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — day 7, dose 3MedDRA: Headache, Unevaluable event — Feeling: Good · HeadacheFree text: Headache and Urine seem to have subsided.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-19
- 2021-11-26
- 2021-12-03
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2021-12-10
Survey response — day 42, dose 3MedDRA: Injection site pain, Office visit, Pain — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: My right arm where I got the Booster has been hurt to the touch and movement · Healthcare visit (other): PCPMedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2021-12-13
- 2022-01-29
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2022-05-01
Survey response — 6 months, dose 3MedDRA: Nasopharyngitis — Feeling: GoodFree text: Mild cold since going without mask.MedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Dose 4 — Moderna
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2022-05-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-05-22
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2022-05-28
Survey response — day 14, dose 4MedDRA: Cough — Feeling: GoodFree text: Cough at nightMedDRA releases: 2024-11 · check-in free text available
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2022-06-04
Survey response — day 21, dose 4MedDRA: Cough — Feeling: GoodFree text: Cough at night in and off. May be allergies never had that before. I was exposed to 2 people who have tested positive. I have not gotten sick has of yet. 9 days out now since exposure.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-06-18
- 2022-06-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-14 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-12-10 | Unsuccessful |
Free text
Release 6 — day 14, dose 2
Symptoms: Diarrhea and nausea 2 days ago.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have a cough at night. This started after I had the 2nd shot and comes and goes.
Systemic reaction (other): Feel flush like I have a fever but when I take my temp its normal.
Systemic reaction (other): My urine has been a dark yellow ever since the booster.
Release 10 — day 7, dose 3
Systemic reaction (other): Headache and Urine seem to have subsided.
Release 10 — day 42, dose 3
Symptoms: My right arm where I got the Booster has been hurt to the touch and movement
Healthcare visit (other): PCP
Release 11 — 6 months, dose 3
Symptoms: Mild cold since going without mask.
Release 11 — day 14, dose 4
Symptoms: Cough at night
Release 11 — day 21, dose 4
Symptoms: Cough at night in and off. May be allergies never had that before. I was exposed to 2 people who have tested positive. I have not gotten sick has of yet. 9 days out now since exposure.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SRO | Chromaturia | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Flushing | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release