ZUL-32531-41950
4 vaccinations
4 coded responses
24 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 956 / CA
- Registered
- 2020-12-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Registered in v-safe
-
2020-12-23
Dose 1 — Moderna
- 2020-12-23
- 2020-12-25
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
- 2020-12-30
- 2021-01-06
- 2021-01-15
-
2021-01-20
Dose 2 — Moderna
-
2021-01-27
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Rash chest/abdomen 2 days after vaccine, not itchy, resolved in 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-12-11
Dose 3 — Moderna
- 2022-01-20
-
2022-09-25
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-11
Survey response — day 14, dose 4MedDRA: Papilloedema — Feeling: GoodFree text: In process of work up for papilledemaMedDRA releases: 2024-11 · check-in free text available
- 2022-10-16
- 2022-10-23
- 2022-10-31
-
2022-11-06
Survey response — day 42, dose 4MedDRA: Headache, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: PoorFree text: Congestion, headache, sneezing , runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-12-26
-
2023-03-28
Survey response — 6 months, dose 4MedDRA: Headache, Idiopathic intracranial hypertension — Feeling: Fair · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitMedDRA releases: 2024-11
-
2023-03-28
Report sent to call center — 6 months, dose 4Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
| 4 | 2022-09-25 | Pfizer-BioNTech | Flu |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2023-03-28 | Unsuccessful |
Free text
Release 2 — day 7, dose 2
Systemic reaction (other): Rash chest/abdomen 2 days after vaccine, not itchy, resolved in 2 days
Release 12 — day 14, dose 4
Symptoms: In process of work up for papilledema
Release 12 — day 42, dose 4
Symptoms: Congestion, headache, sneezing , runny nose
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 | Headache | · | · | ✓ |
| SD | Idiopathic intracranial hypertension | · | · | ✓ |
| SD | Papilloedema | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release