ZWC-79332-33272
5 vaccinations
8 coded responses
46 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 811 / CO
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-04
Registered in v-safe
- 2021-01-04
- 2021-01-05
-
2021-01-06
Health check-in — day 7, dose 1Feeling: Fair · Fever · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-06
Report sent to call center — day 7, dose 1Be unable to do your normal daily activities1 call case(s)
- 2021-01-13
- 2021-01-20
- 2021-01-27
-
2021-01-29
Dose 2 — Moderna
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Fatigue — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: I had a temperature of 103 12 hours after receiving 2nd shot. Low temp and Fatigue everyday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-10-23
Dose 3 — Moderna
- 2021-10-23
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Self-medication, Unevaluable event — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ibuprofen helped temp and headacheMedDRA releases: 2024-11 · check-in free text available
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
-
2021-11-20
Survey response — day 28, dose 3MedDRA: Respiratory tract infection — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Unrelated to Covid vaccine. Respiratory from grandson- he was tested Covid was neg and Positive for respiratory illness.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Respiratory tract infection — Feeling: Fair · Be unable to work or attend schoolFree text: Continue to have a respiratory illness. Grandson tested negative for Covid and passed this to me.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2022-01-22
-
2022-04-15
Dose 4 — Moderna
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Pyrexia — Feeling: Good · Site: PainFree text: I did get feverish and very very achy a few hours after shot - sooner than other shots. I didn't fill one of these out the day if or say after when symptoms were worse. Day 2 was moderateMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2022-04-29
-
2022-05-06
Survey response — day 21, dose 4MedDRA: Unevaluable event — Feeling: Poor · Be unable to work or attend schoolFree text: I think food poisoning? Or a stomach flu.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-09-09
Dose 5 — Moderna
-
2022-09-23
Survey response — day 14, dose 5MedDRA: Fatigue, Unevaluable event — Feeling: GoodFree text: I received booster a few weeks ago. I had temperature and aches 12 hours later and then some fatigue for a few days.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-07
- 2022-10-14
- 2022-10-21
-
2022-12-09
Survey response — 3 months, dose 5MedDRA: Oropharyngeal pain — Feeling: Good · Be unable to work or attend schoolFree text: I had sore throat for 2 days but then fine.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 priority 2/3 (triaged and no follow up)
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had a temperature of 103 12 hours after receiving 2nd shot. Low temp and Fatigue everyday.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Ibuprofen helped temp and headache
Release 10 — day 28, dose 3
Symptoms: Unrelated to Covid vaccine. Respiratory from grandson- he was tested Covid was neg and Positive for respiratory illness.
Release 10 — day 35, dose 3
Symptoms: Continue to have a respiratory illness. Grandson tested negative for Covid and passed this to me.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I did get feverish and very very achy a few hours after shot - sooner than other shots. I didn't fill one of these out the day if or say after when symptoms were worse. Day 2 was moderate
Release 11 — day 21, dose 4
Symptoms: I think food poisoning? Or a stomach flu.
Release 12 — day 14, dose 5
Symptoms: I received booster a few weeks ago. I had temperature and aches 12 hours later and then some fatigue for a few days.
Release 12 — 3 months, dose 5
Symptoms: I had sore throat for 2 days but then fine.
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 | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release