ZVR-15301-11134
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 760 / TX
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
-
2020-12-31
Survey response — day 0, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Had a slight ache in arm that was injected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-07
- 2021-01-15
- 2021-01-21
-
2021-01-27
Dose 2 — Moderna
-
2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-01-30
- 2021-01-31
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Vaccination site pain — Feeling: GoodFree text: Arm at vaccination site is very sore and has been several days. Don't remember doing anything to cause it to be sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: I noticed that in the past two months I have had more headaches than before, 1 every couple of weeks. Before I rarely got them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-04-28
- 2021-07-28
-
2021-10-24
Dose 3 — Moderna
-
2021-10-24
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: I had an antibody test 2 wks ago w results showing zero immunity. I wish I could have received a full dose.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Abdominal painAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — day 7, dose 3MedDRA: Antibody test abnormal, Anxiety, Immunodeficiency — Feeling: GoodFree text: Anxiety. I had an antibody test on October 8 which revealed I had zero immunity. I'm concerned that the booster is not enough. I'll have a 2nd test in 2 or 3 weeks. What can I do if the antibodies aren't up?MedDRA releases: 2024-11 · check-in free text available
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
- 2022-04-26
- 2022-10-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Had a slight ache in arm that was injected.
Release 4 — day 21, dose 2
Symptoms: Arm at vaccination site is very sore and has been several days. Don't remember doing anything to cause it to be sore.
Release 5 — day 35, dose 2
Symptoms: I noticed that in the past two months I have had more headaches than before, 1 every couple of weeks. Before I rarely got them.
Release 10 — day 0, dose 3
Systemic reaction (other): I had an antibody test 2 wks ago w results showing zero immunity. I wish I could have received a full dose.
Release 10 — day 7, dose 3
Systemic reaction (other): Anxiety. I had an antibody test on October 8 which revealed I had zero immunity. I'm concerned that the booster is not enough. I'll have a 2nd test in 2 or 3 weeks. What can I do if the antibodies aren't 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 |
|---|---|---|---|---|
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SRO | Antibody test abnormal | · | · | ✓ |
| SRO | Anxiety | · | · | ✓ |
| SRO | Immunodeficiency | · | · | ✓ |
| SRO | Injection site pain | ○ | ○ | ○ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release