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ZSV-67158-65532

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
61-65
ZIP prefix
662 / KS
Registered
2021-01-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-02
    Registered in v-safe
  3. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling hot — Feeling: Good
    Free text: Over the last few days I feel hot. No chills or temperature. Just interesting. It is cold where I live.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-28
    Dose 2 — Moderna
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia, Epistaxis, Secretion discharge, Taste disorder — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Free text: Taste changes, bitter and metallic. Blood and increase thick green mucous in the morning when blowing nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-18
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort, Oropharyngeal pain — Feeling: Good
    Free text: Upper chest discomfort on both sides of upper sternum for past week. Sore throat yesterday and today. No fever. No productive cough.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Respiratory symptom, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: Upper respiratory illness. Tested negative for COVID
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-01-28
    Report sent to call center — 12 months, dose 2
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  21. 2022-02-02

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Call center

ReportedOutcomeVAERS-related outcome
2022-01-28 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-06

Systemic reaction (other): Over the last few days I feel hot. No chills or temperature. Just interesting. It is cold where I live.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Taste changes, bitter and metallic. Blood and increase thick green mucous in the morning when blowing nose.

2021-02-02

Systemic reaction (other): Runny nose

2021-02-03

Systemic reaction (other): Runny nose

Release 4 — day 21, dose 2

2021-02-18

Symptoms: Upper chest discomfort on both sides of upper sternum for past week. Sore throat yesterday and today. No fever. No productive cough.

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Upper respiratory illness. Tested negative for COVID

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
SDChest discomfort ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory symptom · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODysgeusia ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓

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