ZSV-12444-30004
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 986 / WA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-21
-
2021-01-28
Survey response — day 14, dose 1MedDRA: Back pain, Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Neck pain, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test — Feeling: Fair · Be unable to workFree text: I have sore throat, congestion, dry cough, sore neck and back, headache and fatigue. I was in close contact with someone who tested positive for COVID-19 and am in quarantine. I am waiting on my test results. I have had no problems with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-07
Dose 2 — Moderna
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Abdominal painAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Abdominal pain · Be unable to workAdult check-in
-
2021-02-21
Survey response — day 14, dose 2MedDRA: Chills, Headache, Hyperhidrosis, Nausea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extensive sweating and chills when sleeping, nausea, dull headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-08-09
-
2022-02-07
Survey response — 12 months, dose 2MedDRA: Aphthous ulcer, COVID-19, Dyspnoea, Headache, Nasal congestion, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I contracted Covid and experienced headache, sore throat, shortness of breath, body aches, canker sores in my mouth, and stuffy nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-02-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-07 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-02-07 | Unsuccessful |
Free text
Release 2 — day 14, dose 1
Symptoms: I have sore throat, congestion, dry cough, sore neck and back, headache and fatigue. I was in close contact with someone who tested positive for COVID-19 and am in quarantine. I am waiting on my test results. I have had no problems with the vaccine. cut off by CDC
Release 4 — day 14, dose 2
Symptoms: Extensive sweating and chills when sleeping, nausea, dull headache
Release 11 — 12 months, dose 2
Symptoms: I contracted Covid and experienced headache, sore throat, shortness of breath, body aches, canker sores in my mouth, and stuffy nose.
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 | Aphthous ulcer | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release