ZTH-29700-64600
4 vaccinations
10 coded responses
55 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 844 / UT
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
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2021-02-24
Dose 1 — Moderna
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2021-02-24
Survey response — day 0, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: I just got vaccine 4 hours ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Dose 2 — Moderna
- 2021-03-24
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2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Fatigue or tirednessFree text: The FIRST vaccine dose side effects was worse than this second dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
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2021-06-23
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Illness, Muscular weakness, Nasal congestion, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2 weeks ago, had a 6 day illness of extreme fatigue, 2 day headache & a couple days of 101° fever, muscle weakness, sore throat & nasal congestion; no coughing. Then ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-23
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2021-11-04
Dose 3 — Moderna
- 2021-11-04
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-10
- 2021-11-11
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2021-11-18
Survey response — day 14, dose 3MedDRA: Arthralgia, Office visit, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Increasing joint pain--maybe a flare-up of my autoimmune illness (Sarcoid Arthritis). Had a steroid injection to left knee at Dr's office yesterday & talked to him about this. However, today i seem to be feeling better.MedDRA releases: 2024-11 · check-in free text available
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2021-11-25
Survey response — day 21, dose 3MedDRA: Pleuritic pain, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Pleurisy type pain to left chest/ lung area...pretty severe since last night. I've had pleurisy years ago with pneumonia so i know the feeling. I've tried coupke different meds for the pain...Advil works best. Started 5 days after booster occasionallMedDRA releases: 2024-11 · check-in free text available
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2021-12-02
Survey response — day 28, dose 3MedDRA: Cough, Pyrexia, Upper respiratory tract infection, Wheezing — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Upper respiratory infection ×4 days...temp was 101 for 2 days & coughing and wheezing has been constant. Ugh i feel sick lol.MedDRA releases: 2024-11 · check-in free text available
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2021-12-09
Survey response — day 35, dose 3MedDRA: Ageusia, Anosmia, Cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Am better now, but last week i had awful cough, 101° temp, congestion, problems with sense of taste & smell etc. I had a Covid test 2 days ago and it was NEGATIVE.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2022-02-05
- 2022-05-05
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2022-05-27
Dose 4 — Moderna
- 2022-05-27
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2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-05-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-12
- 2022-06-19
- 2022-06-24
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2022-07-01
Survey response — day 35, dose 4MedDRA: Condition aggravated, Pre-existing disease, Reaction to previous exposure to any vaccine — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Flare-up of Sarcoid Arthritis (autoimmune illness) again...happened also after one of vaccines or last booster.MedDRA releases: 2024-11 · check-in free text available
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2022-07-08
Survey response — day 42, dose 4MedDRA: Condition aggravated, Gait disturbance, Muscular weakness, Pre-existing disease — 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: Starting about a little over 3 weeks ago, i began having a bad flare-up of my autoimmune illness, Sarcoid Arthritis. It is especially affecting my hips & thigh muscles, besides main joints. Much weakness in thigh muscles...hard to walj at times.MedDRA releases: 2024-11 · check-in free text available
-
2022-07-08
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)
- 2022-07-11
- 2022-08-26
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2022-11-25
Survey response — 6 months, dose 4MedDRA: Gastrointestinal disorder, Nasal disorder, Office visit, Post-acute COVID-19 syndrome, Pre-existing disease, SARS-CoV-2 test positive — 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: October 4, 2022, tested positive for Covid. Almost 2 months later i'm still experiencing some symtoms (GI & nasal). Per Dr, long-Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-11-25
Report sent to call center — 6 months, 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)
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2022-11-28
Call successfulParticipant prefers to complete VAERS report online
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2022-11-28
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2022-07-08 | Successful 2022-11-28 |
Participant prefers to complete VAERS report online |
| 2022-11-25 | Successful 2022-11-28 |
Participant prefers to complete VAERS report online |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I just got vaccine 4 hours ago.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The FIRST vaccine dose side effects was worse than this second dose.
Release 9 — 3 months, dose 2
Symptoms: 2 weeks ago, had a 6 day illness of extreme fatigue, 2 day headache & a couple days of 101° fever, muscle weakness, sore throat & nasal congestion; no coughing. Then ok.
Release 10 — day 14, dose 3
Symptoms: Increasing joint pain--maybe a flare-up of my autoimmune illness (Sarcoid Arthritis). Had a steroid injection to left knee at Dr's office yesterday & talked to him about this. However, today i seem to be feeling better.
Release 10 — day 21, dose 3
Symptoms: Pleurisy type pain to left chest/ lung area...pretty severe since last night. I've had pleurisy years ago with pneumonia so i know the feeling. I've tried coupke different meds for the pain...Advil works best. Started 5 days after booster occasionall cut off by CDC
Release 10 — day 28, dose 3
Symptoms: Upper respiratory infection ×4 days...temp was 101 for 2 days & coughing and wheezing has been constant. Ugh i feel sick lol.
Release 10 — day 35, dose 3
Symptoms: Am better now, but last week i had awful cough, 101° temp, congestion, problems with sense of taste & smell etc. I had a Covid test 2 days ago and it was NEGATIVE.
Release 12 — day 35, dose 4
Symptoms: Flare-up of Sarcoid Arthritis (autoimmune illness) again...happened also after one of vaccines or last booster.
Release 12 — day 42, dose 4
Symptoms: Starting about a little over 3 weeks ago, i began having a bad flare-up of my autoimmune illness, Sarcoid Arthritis. It is especially affecting my hips & thigh muscles, besides main joints. Much weakness in thigh muscles...hard to walj at times.
Release 12 — 6 months, dose 4
Symptoms: October 4, 2022, tested positive for Covid. Almost 2 months later i'm still experiencing some symtoms (GI & nasal). Per Dr, long-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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Illness | ✓ | ✓ | ✓ |
| SD | Muscular weakness | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasal disorder | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pleuritic pain | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release