ZTR-77973-61204
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: I have felt great all day!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
-
2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Headache, Fatigue or tiredness, DiarrheaFree text: These symptoms are more likely related to the weather & not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-08
Dose 2 — Moderna
- 2021-04-13
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: I experienced symptoms on 4/9 the day after my 2nd shot on 4/8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 7, dose 2MedDRA: Adverse reaction — Feeling: GoodFree text: All my symptoms that were terrible occurred between 4/9/21 13:00 through 4/10/21 15:00MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-15
-
2021-05-20
Survey response — day 42, dose 2MedDRA: Office visit, Ophthalmic migraine — Feeling: Good · Be unable to work, 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: Symptoms: I developed What appears to be ocular migraines · Healthcare visit (other): In office visit/ extensive testingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Report sent to call center — day 42, dose 2Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-08
-
2021-10-07
Survey response — 6 months, dose 2MedDRA: Headache, Office visit — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Persistent daily headaches · Healthcare visit (other): Scheduled office visit and referral to specialist and lots of testingMedDRA releases: 2024-11 · check-in free text available
-
2021-10-07
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-10-11
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-05-20 | Unsuccessful | |
| 2021-10-07 | Unsuccessful |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I have felt great all day!
Systemic reaction (other): These symptoms are more likely related to the weather & not the vaccine
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I experienced symptoms on 4/9 the day after my 2nd shot on 4/8
Release 7 — day 7, dose 2
Systemic reaction (other): All my symptoms that were terrible occurred between 4/9/21 13:00 through 4/10/21 15:00
Release 8 — day 42, dose 2
Symptoms: I developed What appears to be ocular migraines
Healthcare visit (other): In office visit/ extensive testing
Release 10 — 6 months, dose 2
Symptoms: Persistent daily headaches
Healthcare visit (other): Scheduled office visit and referral to specialist and lots of testing
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release