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ZTC-20303-04588

4 vaccinations 10 coded responses 42 check-ins 10 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
496 / MI
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Feeling hot — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: On day after 1st shot, felt warmer than usual but not feverish, slightly sore arm. All better the next day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-19
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-05
    Dose 2 — Moderna
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Redness, Itching
    Free text: Woke up feeling this morning feeling like Im back!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  10. 2021-03-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site rash — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Rash is beginning to spread away from the injection site. Similar to what occurred after my 1st shot (in my other arm).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Very mild, pinkish not red, only slightly itchy rash in the same area as yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-04
    Survey response — 3 months, dose 2
    MedDRA: Productive cough, Rhinorrhoea, Self-medication — Feeling: Good
    Free text: Allergies cause extra mucus & subsequent loose cough, but Mucinex DM takes care of things well. Feel fine otherwise!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-11-05
    Dose 3 — Moderna
  22. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain, Somnolence — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: So far, so good. Felt drowsy this morning while reading, is all. Only a little bit sore at the injection site with no visible reaction on my arm. Feeling good overall. Yay!
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-11-07
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased, Injection site pain, Somnolence — Feeling: Good · Site: Pain
    Free text: Yesterday continued sore injection site & very drowsy, had normal temp. At night temp went up two degrees. Today, not drowsy, normal temp, only slightly sore injection site.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Itching
    Free text: At least this time, my "covid arm" is not worrisome to me. After my 2nd shot, I was surprised to see it progress to being more red & itchy & move further down my arm, but then it subsided. Expect the same this time.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  27. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  28. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-11
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-04-15
    Dose 4 — Moderna
  36. 2022-04-19
    Survey response — days 1–6 daily, dose 4
    MedDRA: Body temperature increased, Somnolence — Feeling: Good
    Free text: On Sat 04/16/2022, the day following my second Moderna booster, I pretty much slept away the day and was just a bit warmer than usual (98.2° versus usual 97.6°). No soreness or problems at the injection site. Sunday morning, I woke up all refreshed.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-04-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-04-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  39. 2022-04-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  40. 2022-04-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-06
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-05-20
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-05-27
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-07-15
    Survey response — 3 months, dose 4
    MedDRA: Discomfort, Gait disturbance, Pre-existing disease — Feeling: Good · 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: Not COVID related but left knee with prior history of dislocation & successful rehab, unexpectedly presented with difficulty walking & general discomfort on Tue 07/05/2022. Have been resting knee & scheduled appt with primary care Dr on 07/19/2022.
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-07-15
    Report sent to call center — 3 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  47. 2022-07-18
  48. 2022-10-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  49. 2023-04-17
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna
32021-11-05Moderna No
42022-04-15Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2022-07-15 Unsuccessful

Free text

Release 4 — day 7, dose 1

2021-02-14

Systemic reaction (other): On day after 1st shot, felt warmer than usual but not feverish, slightly sore arm. All better the next day.

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Woke up feeling this morning feeling like Im back!

2021-03-09

Systemic reaction (other): Rash is beginning to spread away from the injection site. Similar to what occurred after my 1st shot (in my other arm).

2021-03-10

Systemic reaction (other): Very mild, pinkish not red, only slightly itchy rash in the same area as yesterday.

Release 8 — 3 months, dose 2

2021-06-04

Symptoms: Allergies cause extra mucus & subsequent loose cough, but Mucinex DM takes care of things well. Feel fine otherwise!

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): So far, so good. Felt drowsy this morning while reading, is all. Only a little bit sore at the injection site with no visible reaction on my arm. Feeling good overall. Yay!

2021-11-07

Systemic reaction (other): Yesterday continued sore injection site & very drowsy, had normal temp. At night temp went up two degrees. Today, not drowsy, normal temp, only slightly sore injection site.

2021-11-08

Systemic reaction (other): At least this time, my "covid arm" is not worrisome to me. After my 2nd shot, I was surprised to see it progress to being more red & itchy & move further down my arm, but then it subsided. Expect the same this time.

Release 11 — days 1–6 daily, dose 4

2022-04-19

Systemic reaction (other): On Sat 04/16/2022, the day following my second Moderna booster, I pretty much slept away the day and was just a bit warmer than usual (98.2° versus usual 97.6°). No soreness or problems at the injection site. Sunday morning, I woke up all refreshed. cut off by CDC

Release 12 — 3 months, dose 4

2022-07-15

Symptoms: Not COVID related but left knee with prior history of dislocation & successful rehab, unexpectedly presented with difficulty walking & general discomfort on Tue 07/05/2022. Have been resting knee & scheduled appt with primary care Dr on 07/19/2022. cut off by CDC

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
SDDiscomfort · · ✓
SDGait disturbance · · ✓
SDPre-existing disease · · ✓
SDProductive cough ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SROBody temperature increased · · ✓
SROFeeling hot ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjection site rash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SROReaction to previous exposure to any vaccine · · ✓
SROSomnolence · · ✓
SROUnevaluable event ✓ ✓ ✓

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

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