ZVG-15006-98580
4 vaccinations
4 coded responses
38 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 618 / IL
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QJH-51277-01714
Child or adolescent in my care · Male · 2021-11-06
MSK-20675-03741
Child or adolescent in my care · Male · 2021-11-06
Timeline
-
2021-01-04
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
- 2021-01-18
- 2021-01-25
- 2021-02-01
-
2021-02-03
Dose 2 — Moderna
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Eye pruritus, Nasal congestion, Oropharyngeal pain, Pre-existing disease — Feeling: FairFree text: Some mild nasal congestion and mild sore throat. Both accompanied by itchy eyes, so I'm assuming it's just my normal seasonal allergies.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Moderna
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased, Feeling cold, Headache — Feeling: Good · Site: Pain · HeadacheFree text: Very mild headache today. Yesterday, 12ish hours after the booster, my temperature dropped to around 98.1 for a few hours. I felt cold, but didn't have chills.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
-
2022-05-06
Survey response — 6 months, dose 3MedDRA: Hypertension — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Discovered that my borderline blood pressure is now officially high blood pressureMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-09
-
2022-05-27
Dose 4 — Pfizer-BioNTech
-
2022-05-31
Survey response — days 1–6 daily, dose 4MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swollen lymph nodes under arms, more pronounced on the injection site sideMedDRA releases: 2024-11 · check-in free text available
- 2022-06-01
- 2022-06-02
- 2022-06-03
- 2022-06-11
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-07-10
- 2022-11-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-05-27 | Pfizer-BioNTech | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 9 — 6 months, dose 2
Symptoms: Some mild nasal congestion and mild sore throat. Both accompanied by itchy eyes, so I'm assuming it's just my normal seasonal allergies.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very mild headache today. Yesterday, 12ish hours after the booster, my temperature dropped to around 98.1 for a few hours. I felt cold, but didn't have chills.
Release 11 — 6 months, dose 3
Symptoms: Discovered that my borderline blood pressure is now officially high blood pressure
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Swollen lymph nodes under arms, more pronounced on the injection site side
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 | Eye pruritus | ✓ | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Nasal congestion | ✓ | · | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Feeling cold | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release