ZVA-15774-62096
4 vaccinations
3 coded responses
49 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 953 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site rash, Injection site swelling, Rash pruritic — Feeling: GoodFree text: On day 8 I had a red swollen rash about the size of a baseball around the injection site that was quite itchy. This lasted for about 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
-
2021-03-31
Dose 2 — Moderna
- 2021-03-31
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesAdult check-in
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-23
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
-
2021-09-29
Survey response — 6 months, dose 2MedDRA: Cough, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, Sinus congestion, Upper-airway cough syndrome — Feeling: GoodFree text: 2 colds. The first with a 5 day sore throat then stuffy/runny nose for a few more days. The second with very stuffed sinuses and post nasal drip causing a shallow cough at night only for about a week to 10 days.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Chills, Cough, Fatigue, Headache, SARS-CoV-2 test negative, Sinus congestion, Sinusitis — Feeling: Good · 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: Chills, headache, cough, tiredness, extreme sinus stuffiness. This lasted 9 days and then turned into a sinus infection. I tested negative for covid on antigen home test and PCR test.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-24
Report sent to call center — 3 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-01-26
-
2022-01-26
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-25
-
2022-09-06
Dose 4 — Moderna
-
2022-09-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-09-10
- 2022-09-11
- 2022-09-12
- 2022-09-13
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-12-06
- 2023-03-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-09-06 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 5 — day 14, dose 1
Symptoms: On day 8 I had a red swollen rash about the size of a baseball around the injection site that was quite itchy. This lasted for about 3 days.
Release 9 — 6 months, dose 2
Symptoms: 2 colds. The first with a 5 day sore throat then stuffy/runny nose for a few more days. The second with very stuffed sinuses and post nasal drip causing a shallow cough at night only for about a week to 10 days.
Release 11 — 3 months, dose 3
Symptoms: Chills, headache, cough, tiredness, extreme sinus stuffiness. This lasted 9 days and then turned into a sinus infection. I tested negative for covid on antigen home test and PCR test.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release