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ZT3-32405-02059

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
895 / NV
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nasopharyngitis — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness
    Free text: Head cold symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Nausea
    Adult check-in
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Back pain, Ear discomfort, Exposure to SARS-CoV-2, Headache, Oropharyngeal pain, SARS-CoV-2 test positive, Spinal pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Exposed to COVID 4 days after vaccine. Headache, ear pressure, sore throat & entire spine pain from neck to hips 4 days after exposed. Tested POSITIVE for COVID 9 days after vaccine. Symptom free 12 days from vaccine. Feeling much better now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-13
    Report sent to call center — day 14, dose 1
    Be unable to work · Be unable to do your normal daily activities
    1 call case(s)
  13. 2021-01-20
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to work
    Free text: Occasional shortness of breath which I believe its residual symptoms of me having the CORONAVIRUS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-02-03
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  16. 2021-02-11
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-02-14
    Dose 2 — Moderna
  18. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-21
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Be unable to work, 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: Shortness of breath (I do have asthma)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-21
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-03-28
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  26. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-09
  28. 2021-08-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-02-14
    Survey response — 12 months, dose 2
    MedDRA: Dyspnoea, Headache, Nasopharyngitis, Oropharyngeal pain — Feeling: Good
    Free text: Sore throat, sob, headache, head cold symptoms
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-02-14Moderna

Call center

ReportedOutcomeVAERS-related outcome
2021-01-13 priority 2/3
2021-03-21 Unsuccessful

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): Head cold symptoms

Release 1 — day 14, dose 1

2021-01-13

Symptoms: Exposed to COVID 4 days after vaccine. Headache, ear pressure, sore throat & entire spine pain from neck to hips 4 days after exposed. Tested POSITIVE for COVID 9 days after vaccine. Symptom free 12 days from vaccine. Feeling much better now.

Release 2 — day 21, dose 1

2021-01-20

Symptoms: Occasional shortness of breath which I believe its residual symptoms of me having the CORONAVIRUS

Release 6 — day 35, dose 2

2021-03-21

Symptoms: Shortness of breath (I do have asthma)

Release 11 — 12 months, dose 2

2022-02-14

Symptoms: Sore throat, sob, headache, head cold symptoms

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
SDBack pain ✓ ✓ ○
SDDyspnoea ✓ ✓ ✓
SDEar discomfort ✓ ✓ ✓
SDExposure to SARS-CoV-2 ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSARS-CoV-2 test positive ✓ ✓ ✓
SDSpinal pain · · ✓
SRONasopharyngitis ✓ ✓ ✓

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

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