ZVZ-28775-93017
4 vaccinations
5 coded responses
41 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 453 / OH
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-14
Registered in v-safe
- 2021-01-14
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-22
- 2021-01-27
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral coldness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cold feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: My fever yesterday was a high of 100.9. Medication helped. I also had increased tinnitus yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-26
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
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2021-08-12
Survey response — 6 months, dose 2MedDRA: Hypoaesthesia, Office visit, Walking aid user — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: J7ne 12th I woke up with bilateral lower extremities numbness. I have seen drs and had testing . There was no explanation for it's cause. It mostly resolved but not fully. I was unable to walk without a cane for 2 weeks · Healthcare visit (other): In person dr officeMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-12
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
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2021-12-02
Dose 3 — Moderna
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2021-12-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Nausea, VomitingAdult check-in
- 2021-12-05
-
2021-12-06
Call successfulCompleted over the phone
- 2021-12-08
- 2021-12-09
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2021-12-16
Survey response — day 14, dose 3MedDRA: Pruritus — Feeling: GoodFree text: Itching of hands and feetMedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
- 2022-01-06
- 2022-01-15
- 2022-06-04
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2022-10-05
Dose 4 — ModernaCo-administered: Flu
- 2022-10-21
- 2022-10-26
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2022-11-02
Survey response — day 28, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have had covid for past 5 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-11-10
- 2022-11-18
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-10-05 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Cold feet
Systemic reaction (other): My fever yesterday was a high of 100.9. Medication helped. I also had increased tinnitus yesterday
Release 9 — 6 months, dose 2
Symptoms: J7ne 12th I woke up with bilateral lower extremities numbness. I have seen drs and had testing . There was no explanation for it's cause. It mostly resolved but not fully. I was unable to walk without a cane for 2 weeks
Healthcare visit (other): In person dr office
Release 10 — day 14, dose 3
Symptoms: Itching of hands and feet
Release 12 — day 28, dose 4
Symptoms: I have had covid for past 5 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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Walking aid user | ✓ | · | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release