ZUJ-97001-72712
2 vaccinations
4 coded responses
19 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 481 / MI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
-
2021-03-03
Survey response — day 0, dose 1MedDRA: Chest discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: Very slight pressure in chest/lungs 4 about 30 mins; completely went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body achesFree text: In my arm; injection site only.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just slight discomfort @ injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-25
-
2021-03-31
Dose 2 — Moderna
- 2021-04-07
- 2021-04-14
-
2021-04-22
Survey response — day 21, dose 2MedDRA: Dialysis, Dizziness, Nausea, Vomiting — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Felt light headed/ dizzy on Tuesday morning (545 am). That lasted all day & it subsided over the day. Lite vomiting/ nausea that morning...bit it passed after about 4 hrs. Completed an internist visit yesterday & o dialysis in a few hours. Better! · Healthcare visit (other): DialysisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-07-01
- 2021-09-29
- 2022-03-31
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Very slight pressure in chest/lungs 4 about 30 mins; completely went away
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): In my arm; injection site only.
Systemic reaction (other): Just slight discomfort @ injection site.
Release 7 — day 21, dose 2
Symptoms: Felt light headed/ dizzy on Tuesday morning (545 am). That lasted all day & it subsided over the day. Lite vomiting/ nausea that morning...bit it passed after about 4 hrs. Completed an internist visit yesterday & o dialysis in a few hours. Better! cut off by CDC
Healthcare visit (other): Dialysis
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 | Dialysis | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release