ZT8-19201-80739
4 vaccinations
7 coded responses
36 check-ins
7 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 331 / FL
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-01
Dose 1 — Moderna
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2021-03-02
Registered in v-safe
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2021-03-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Heart rate increased — Feeling: Fair · Fatigue or tirednessFree text: Transient rapid heart rate detected on fitness monitor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
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2021-03-22
Survey response — day 21, dose 1MedDRA: Headache, Vision blurred — Feeling: GoodFree text: In addition to now having the previously reported headaches (severe and for the first time in my life) since being vaccinated, I had blurred vision today on or off for about 10 minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Dose 2 — Moderna
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
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2021-05-03
Survey response — day 35, dose 2MedDRA: Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Headaches became far more frequent.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-10
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2021-06-28
Survey response — 3 months, dose 2MedDRA: Pain, Productive cough, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Productive Cough, sinus congestion, body aches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-28
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-06-30
Call successfulParticipant prefers to complete VAERS report online
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2021-09-07
Dose 3 — Pfizer-BioNTech
- 2021-09-27
- 2021-12-09
- 2022-03-10
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2022-04-15
Dose 4 — Janssen/Johnson & Johnson
- 2022-04-19
- 2022-04-20
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
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2022-05-27
Survey response — day 42, dose 4MedDRA: Asthma, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Asthma flare.MedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-05-31
- 2022-05-31
- 2022-05-31
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2022-07-15
Survey response — 3 months, dose 4MedDRA: COVID-19 — 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 · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visitFree text: Covid positive and symptomatic.MedDRA releases: 2024-11 · check-in free text available
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2022-07-15
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
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2022-07-18
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-14
Survey response — 6 months, dose 4MedDRA: Food poisoning — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Unrelated probable food poisoning.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-09-07 | Pfizer-BioNTech | No |
| 4 | 2022-04-15 | Janssen/Johnson & Johnson | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-03 | Successful | Participant prefers to complete VAERS report online |
| 2021-06-28 | Successful 2021-06-30 |
Participant prefers to complete VAERS report online |
| 2022-05-27 | Successful | Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-07-15 | Successful 2022-07-18 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Transient rapid heart rate detected on fitness monitor.
Release 6 — day 21, dose 1
Symptoms: In addition to now having the previously reported headaches (severe and for the first time in my life) since being vaccinated, I had blurred vision today on or off for about 10 minutes.
Release 8 — day 35, dose 2
Symptoms: Headaches became far more frequent.
Release 9 — 3 months, dose 2
Symptoms: Productive Cough, sinus congestion, body aches.
Release 11 — day 42, dose 4
Symptoms: Asthma flare.
Release 12 — 3 months, dose 4
Symptoms: Covid positive and symptomatic.
Release 12 — 6 months, dose 4
Symptoms: Unrelated probable food poisoning.
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 | Asthma | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Food poisoning | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release