ZVU-49690-73583
3 vaccinations
5 coded responses
38 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 322 / FL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Parosmia, Therapeutic response unexpected — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains · Be unable to do your normal daily activitiesFree text: Weirdly I am smelling smells that dont exist. like mens deodorant or vinegar. A long story but 30 years ago I lost my sense of smell and it has come back to some degree and with that sometimes I would smell gasoline when it wasnt around. So no idea but reporting it anyway.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-10-29
Dose 3 — Moderna
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: GoodFree text: Could not sleep last night. No idea if related.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia — Feeling: GoodFree text: Not sleeping as much as before shot. Not sure related.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — day 7, dose 3MedDRA: Gastrointestinal disorder — Feeling: Good · HeadacheFree text: Digestive troublesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: COVID-19, Patient isolation — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Got COVID. Mild case. Took Paxlovid. Had a slight rebound. Stayed isolated for 2 rounds of 10 days!MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Report sent to call center — 12 months, dose 3Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-11-07
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Weirdly I am smelling smells that dont exist. like mens deodorant or vinegar. A long story but 30 years ago I lost my sense of smell and it has come back to some degree and with that sometimes I would smell gasoline when it wasnt around. So no idea but reporting it anyway.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Could not sleep last night. No idea if related.
Systemic reaction (other): Not sleeping as much as before shot. Not sure related.
Release 10 — day 7, dose 3
Systemic reaction (other): Digestive troubles
Release 12 — 12 months, dose 3
Symptoms: Got COVID. Mild case. Took Paxlovid. Had a slight rebound. Stayed isolated for 2 rounds of 10 days!
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 | COVID-19 | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Parosmia | ✓ | ✓ | ✓ |
| SRO | Therapeutic response unexpected | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release