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ZTE-24780-91477

4 vaccinations 6 coded responses 43 check-ins 5 free-text entries 3 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
365 / AL
Registered
2021-01-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Registered in v-safe
  2. 2021-01-07
    Dose 1 — Moderna
  3. 2021-01-07
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-28
    Survey response — day 21, dose 1
    MedDRA: Rash, Rash pruritic — Feeling: Good
    Free text: On day 15 after my first dose of the Moderna vaccine I developed a rash on my abdomen above and below the waist and on my thigh. It itched a little. It has faded but is still on my abdomen. Dont know if it has anything to do with the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-04
    Dose 2 — Moderna
  10. 2021-02-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness
    Adult check-in
  12. 2021-02-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paranasal sinus discomfort, Sinus pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Sinus pressure and pain but may be unrelated to baccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  14. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  15. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-11
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Survey response — 3 months, dose 2
    MedDRA: Emergency care, Myocardial infarction, Tachycardia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: Symptoms: I had a mild heart attack on April 14. · Healthcare visit (other): I went to the ER with tachycardia and had a heart cath with two stents placed in cardiac arteries.,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-06
    Report sent to call center — 3 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  25. 2021-08-05
    Survey response — 6 months, dose 2
    MedDRA: Myocardial infarction — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, Hospitalization
    Free text: I had a heart attack April 14, 2021
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-08-05
    Report sent to call center — 6 months, dose 2
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-08-15
  28. 2021-08-16
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2021-10-24
    Dose 3 — Moderna
  30. 2021-10-25
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches
    Adult check-in
  31. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-05
    Survey response — day 42, dose 3
    MedDRA: Cough, Upper-airway cough syndrome — Feeling: Fair
    Free text: Post nasal dri and s cough.
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-01-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-11
    Dose 4 — Moderna
  44. 2022-04-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-04-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-05-03
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-05-09
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-05-16
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-05-23
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  50. 2022-07-11
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-10-10
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  52. 2023-04-11
    Survey response — 12 months, dose 4
    MedDRA: Angioplasty, Peripheral vascular disorder — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Hospitalization
    MedDRA releases: 2024-11
  53. 2023-04-11
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Hospitalization · 1 call case(s)
  54. 2023-04-12
  55. 2023-04-12

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32021-10-24Moderna No
42022-04-11Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-06 Unsuccessful
2021-08-05 Successful
2021-08-16
 Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
2023-04-11 Unsuccessful

Free text

Release 2 — day 21, dose 1

2021-01-28

Symptoms: On day 15 after my first dose of the Moderna vaccine I developed a rash on my abdomen above and below the waist and on my thigh. It itched a little. It has faded but is still on my abdomen. Dont know if it has anything to do with the vaccine.

Release 3 — days 1–6 daily, dose 2

2021-02-06

Systemic reaction (other): Sinus pressure and pain but may be unrelated to baccine

Release 8 — 3 months, dose 2

2021-05-06

Symptoms: I had a mild heart attack on April 14.
Healthcare visit (other): I went to the ER with tachycardia and had a heart cath with two stents placed in cardiac arteries.,

Release 9 — 6 months, dose 2

2021-08-05

Symptoms: I had a heart attack April 14, 2021

Release 10 — day 42, dose 3

2021-12-05

Symptoms: Post nasal dri and s cough.

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
HCVOAngioplasty · · ✓
HCVOEmergency care ✓ ✓ ✓
HCVOTachycardia ✓ ✓ ✓
SDCough · · ✓
SDMyocardial infarction ✓ ✓ ✓
SDPeripheral vascular disorder · · ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDUpper-airway cough syndrome · · ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓

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

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