ZW4-22885-84947
2 vaccinations
3 coded responses
20 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 420 / KY
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-03-31
Dose 2 — Moderna
-
2021-04-07
Survey response — day 7, dose 2MedDRA: Nasopharyngitis, Somnolence — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I spent 13 hours in bed, sleeping, fully clothed with 2 layers plus two comforters trying to get warm. I typically sleep only 6 hours per night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-12
Survey response — day 42, dose 2MedDRA: Fatigue, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Moderate head-toe deep body aches and excessive tired. Unlike anything I've ever felt before. It seems to me to be similar to what people who have fibromyalgia describe their symptoms. Aching down to the bone. I can still function but at slower pace.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-30
-
2021-09-29
Survey response — 6 months, dose 2MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Several of the symptoms of covid but got a 24 hour test and it was negative.MedDRA releases: 2024-11 · check-in free text available
-
2021-09-29
Report sent to call center — 6 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2021-11-12
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2022-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): I spent 13 hours in bed, sleeping, fully clothed with 2 layers plus two comforters trying to get warm. I typically sleep only 6 hours per night.
Release 8 — day 42, dose 2
Symptoms: Moderate head-toe deep body aches and excessive tired. Unlike anything I've ever felt before. It seems to me to be similar to what people who have fibromyalgia describe their symptoms. Aching down to the bone. I can still function but at slower pace. cut off by CDC
Release 9 — 6 months, dose 2
Symptoms: Several of the symptoms of covid but got a 24 hour test and it was negative.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release