ZU7-30108-27136
4 vaccinations
6 coded responses
42 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 630 / MO
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Registered in v-safe
-
2021-02-22
Dose 1 — Moderna
- 2021-02-22
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2021-02-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-24
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2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-10
- 2021-03-15
-
2021-03-19
Dose 2 — Moderna
- 2021-03-22
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-24
- 2021-03-26
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2021-04-02
Survey response — day 14, dose 2MedDRA: Injection site pruritus — Feeling: FairFree text: Itching at the vaccination shot area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — day 21, dose 2MedDRA: Injection site pruritus — Feeling: FairFree text: Itching at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-06-18
Survey response — 3 months, dose 2MedDRA: Office visit, Pain in extremity, Paraesthesia, Poor quality sleep — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Right thigh has been feeling tingling and goes down to my foot. Not sleeping well because of the pain in leg. · Healthcare visit (other): Office visit and another in two weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-18
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
- 2021-09-17
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2021-11-13
Dose 3 — Moderna
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2021-11-13
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Fair · Muscle or body achesFree text: From booster site to my first two fingersMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness, VomitingAdult check-in
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Fever · Headache, Nausea, VomitingAdult check-in
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Headache, VomitingAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
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2022-05-02
Dose 4 — Moderna
- 2022-05-14
- 2022-05-19
- 2022-05-23
- 2022-05-30
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2022-06-06
Survey response — day 35, dose 4MedDRA: Back pain, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Lower back pain · Healthcare visit (other): Office visit my general and surgeonMedDRA releases: 2024-11 · check-in free text available
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2022-06-06
Report sent to call center — day 35, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2022-06-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-06-13
- 2022-08-01
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2022-10-31
Survey response — 6 months, dose 4MedDRA: Back disorder, Escherichia infection, Office visit, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Baack problem s ' e-coli aand now at urgent care for ? Something having surgery onbsck November 29 third time isa charm frist two canceled as E-coli and hadn't cleared up.MedDRA releases: 2024-11 · check-in free text available
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-03-19 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 6 — day 14, dose 2
Symptoms: Itching at the vaccination shot area.
Release 7 — day 21, dose 2
Symptoms: Itching at the injection site
Release 9 — 3 months, dose 2
Symptoms: Right thigh has been feeling tingling and goes down to my foot. Not sleeping well because of the pain in leg.
Healthcare visit (other): Office visit and another in two weeks.
Release 10 — day 0, dose 3
Systemic reaction (other): From booster site to my first two fingers
Release 11 — day 35, dose 4
Release 12 — 6 months, dose 4
Symptoms: Baack problem s ' e-coli aand now at urgent care for ? Something having surgery onbsck November 29 third time isa charm frist two canceled as E-coli and hadn't cleared up.
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 | Back disorder | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Escherichia infection | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release