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ZSF-32032-38818

4 vaccinations 8 coded responses 47 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
338 / FL
Registered
2021-03-01
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-01
    Registered in v-safe
  2. 2021-03-01
    Dose 1 — Moderna
  3. 2021-03-01
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Just soreness around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Still soreness around injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Nausea, Vertigo — Feeling: Fair · Nausea
    Free text: I woke up at 7 am this morning with a feeling of vertigo that would not go away. After a couple of hours, it felt like mild vertigo with nausea (no vomiting). It also felt like the unwelcome feeling of a strong pain pill the doctor prescribes you after surgery (I do not like that feeling so I stop taking the pill). At 3pm I felt better but am not completely feeling normal. Not sure if the vaccine is causing this.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  7. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-29
    Dose 2 — Moderna
  14. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches
    Free text: Lightheaded at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Redness
    Free text: Lightheaded off & on
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Redness · Headache
    Free text: Lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-27
    Dose 3 — Moderna
  30. 2021-10-27
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches
    Adult check-in
  32. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-24
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-02
    Dose 4 — Moderna
  45. 2022-04-19
    Survey response — day 14, dose 4
    MedDRA: Sciatica — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Sciatica nerve condition on left side. Started 1/2022
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-04-19
    Report sent to call center — day 14, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2022-04-21
  48. 2022-04-23
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-04-25
    Call successful
    Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
  50. 2022-05-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  53. 2022-07-02
    Health check-in — 3 months, dose 4
    Feeling: Poor
    Adult check-in
  54. 2022-10-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  55. 2023-04-02
    Survey response — 12 months, dose 4
    MedDRA: Sciatica — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    MedDRA releases: 2024-11
  56. 2023-04-02
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  57. 2023-04-03

Vaccinations

DoseDateManufacturerCo-administered
12021-03-01Moderna
22021-03-29Moderna
32021-10-27Moderna No
42022-04-02Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-04-19 Successful
2022-04-25
 Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
2023-04-02 Unsuccessful

Free text

Release 4 — day 0, dose 1

2021-03-01

Systemic reaction (other): Just soreness around injection site

Release 4 — days 1–6 daily, dose 1

2021-03-02

Systemic reaction (other): Still soreness around injection site

2021-03-03

Systemic reaction (other): I woke up at 7 am this morning with a feeling of vertigo that would not go away. After a couple of hours, it felt like mild vertigo with nausea (no vomiting). It also felt like the unwelcome feeling of a strong pain pill the doctor prescribes you after surgery (I do not like that feeling so I stop taking the pill). At 3pm I felt better but am not completely feeling normal. Not sure if the vaccine is causing this.

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Lightheaded at times

2021-04-01

Systemic reaction (other): Lightheaded off & on

2021-04-02

Systemic reaction (other): Lightheaded

Release 11 — day 14, dose 4

2022-04-19

Symptoms: Sciatica nerve condition on left side. Started 1/2022

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

FieldPreferred term2021-092023-042024-11
SDSciatica · · ✓
SRODizziness ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROVertigo ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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