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ZSS-74039-96852

3 vaccinations 4 coded responses 38 check-ins 4 free-text entries 2 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
660 / KS
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Nausea
    Adult check-in
  8. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-04
    Survey response — day 21, dose 1
    MedDRA: Cough, Fatigue, Medical counselling, Respiratory tract congestion, SARS-CoV-2 test negative, Sinusitis, Sputum discoloured — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional
    Free text: Symptoms: Cough, congestion, fatigue, yellow green sputum, afebrile. DX sinus infection. 2 negative covid tests · Healthcare visit (other): Phone consult w/PA friend called in an AB prescription.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-04
    Report sent to call center — day 21, dose 1
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-02-12
    Dose 2 — Moderna
  13. 2021-02-12
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Induration, Lymph node pain, Lymphadenopathy — Feeling: Good
    Free text: Enlarged lymph node armpit hard and sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-16
    Survey response — 3 months, dose 2
    MedDRA: Brain fog, Dizziness, Feeling abnormal, Lethargy, Office visit, Tinnitus — Feeling: Fair · Get care from a doctor or other healthcare professional
    Free text: Symptoms: Light headed, fog, dizziness when I bend over, lethargy, ringing or buzzing in my ears. I had the shingles vaccine 4 weeks after the covid vaccines. I started feeling poorly about 2 weeks after the shingles vaccine. · Healthcare visit (other): Office visit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-16
    Report sent to call center — 3 months, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-06-30
  28. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-04
    Dose 3 — Moderna
  30. 2021-11-04
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  32. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  37. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-18
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-02-05
    Survey response — 3 months, dose 3
    MedDRA: Bronchitis, Sinusitis — Feeling: Fair · Be unable to work or attend school
    Free text: Bronchitis and a sinus infection
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-05
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-11-04
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-12Moderna
32021-11-04Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-02-04 Unsuccessful
2021-05-16 Unsuccessful

Free text

Release 3 — day 21, dose 1

2021-02-04

Symptoms: Cough, congestion, fatigue, yellow green sputum, afebrile. DX sinus infection. 2 negative covid tests
Healthcare visit (other): Phone consult w/PA friend called in an AB prescription.

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Enlarged lymph node armpit hard and sore.

Release 8 — 3 months, dose 2

2021-05-16

Symptoms: Light headed, fog, dizziness when I bend over, lethargy, ringing or buzzing in my ears. I had the shingles vaccine 4 weeks after the covid vaccines. I started feeling poorly about 2 weeks after the shingles vaccine.
Healthcare visit (other): Office visit

Release 11 — 3 months, dose 3

2022-02-05

Symptoms: Bronchitis and a sinus infection

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
HCVOMedical counselling ✓ ✓ ✓
HCVOOffice visit ✓ ✓ ✓
SDBrain fog ✓ ✓ ✓
SDBronchitis · · ✓
SDCough ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDLethargy ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SDSputum discoloured ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓
SROInduration ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

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

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