ZU6-18192-30879
2 vaccinations
5 coded responses
20 check-ins
5 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 546 / WI
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
- 2021-04-07
- 2021-04-08
- 2021-04-09
-
2021-04-23
Survey response — day 21, dose 1MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion — Feeling: FairFree text: Had a cold, sore throat, coughing and very little congestion. Getting better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Parosmia — Feeling: GoodFree text: Strange smell in my nostrils. A little tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-14
-
2021-05-21
Survey response — day 21, dose 2MedDRA: Asthenia, Diarrhoea, Fatigue — Feeling: Fair · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Had a bout of diarrhea on saturday, tired and weak.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Report sent to call center — day 21, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-28
- 2021-06-04
- 2021-06-11
-
2021-07-30
Survey response — 3 months, dose 2MedDRA: Diverticulum — Feeling: GoodFree text: DiverticulosisMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-29
Survey response — 6 months, dose 2MedDRA: Diverticulitis, Emergency care, Myalgia, Pre-existing disease, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Have had 2 flare ups of diverticulosis. Went to er last night. On amoxicillin. And hydrocodone with tylenol for pain. Currently have a fever of 100.7. A few muscle aches. Considering getting tested. Thank you gor checking on me.MedDRA releases: 2024-11 · check-in free text available
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2021-10-29
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 prOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-02
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 7 — day 21, dose 1
Symptoms: Had a cold, sore throat, coughing and very little congestion. Getting better.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Strange smell in my nostrils. A little tired.
Release 8 — day 21, dose 2
Symptoms: Had a bout of diarrhea on saturday, tired and weak.
Release 9 — 3 months, dose 2
Symptoms: Diverticulosis
Release 10 — 6 months, dose 2
Symptoms: Have had 2 flare ups of diverticulosis. Went to er last night. On amoxicillin. And hydrocodone with tylenol for pain. Currently have a fever of 100.7. A few muscle aches. Considering getting tested. Thank you gor checking on me.
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Diverticulitis | · | · | ✓ |
| SD | Diverticulum | ✓ | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release