ZWX-23005-93204
5 vaccinations
10 coded responses
57 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 750 / TX
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
-
2020-12-28
Survey response — day 0, dose 1MedDRA: Injected limb mobility decreased — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Unable to lift vaccinated arm straight up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Report sent to call center — day 0, dose 1Be unable to do your normal daily activities1 call case(s)
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain · NauseaFree text: Nausea mild in morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-01-27
Dose 2 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Fatigue or tirednessFree text: I had headache day of vaccine and I had 2 tylenol tablets 2 hours before vaccine given.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Nasal congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-28
-
2021-09-17
Dose 3 — Moderna
- 2021-10-24
- 2021-10-29
- 2021-12-17
-
2022-03-18
Survey response — 6 months, dose 3MedDRA: Asthenia, Catheterisation cardiac abnormal, Chest pain, Coronary arterial stent insertion, Dyspnoea, Unevaluable event — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit, HospitalizationFree text: Symptoms: Chest pain, SOB, weakness. Cardiac catheterization with 2 stents placed. · Healthcare visit (other): See aboveMedDRA releases: 2024-11 · check-in free text available
-
2022-03-18
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · Hospitalization · 1 call case(s)
- 2022-03-22
-
2022-03-30
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-03-31
Dose 4 — Moderna
-
2022-04-02
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2022-04-03
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-04
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
-
2022-04-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2022-04-07
- 2022-04-14
- 2022-04-21
-
2022-04-28
Survey response — day 28, dose 4MedDRA: Atrial tachycardia, Unevaluable event — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Paroxysmal atrial tachycardia · Healthcare visit (other): Holter monitor orderedMedDRA releases: 2024-11 · check-in free text available
-
2022-04-28
Report sent to call center — day 28, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-04-29
- 2022-05-05
-
2022-05-12
Survey response — day 42, dose 4MedDRA: Cough, Fatigue, Headache, Nausea — Feeling: GoodFree text: Nausea, headache, fatigue, mild coughMedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Survey response — 3 months, dose 4MedDRA: COVID-19, Unevaluable event — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Covid positive · Healthcare visit (other): Monoclonal antibody infusionMedDRA releases: 2024-11 · check-in free text available
-
2022-06-30
Report sent to call center — 3 months, dose 4Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prTelehealth, virtual health, or email health consultation · 1 call case(s)
-
2022-07-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-01
-
2022-10-06
Dose 5 — ModernaCo-administered: Flu
- 2022-10-06
-
2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-05
- 2022-11-10
-
2022-11-17
Survey response — day 42, dose 5MedDRA: Fatigue, Myalgia, Nausea, Night sweats — Feeling: GoodFree text: Fatigue, muscle aches, nausea, night sweatsMedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
-
2023-04-06
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-27 | Moderna | |
| 3 | 2021-09-17 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-10-06 | Moderna | Flu |
Call center
4 call center cases
3 successful · 1 priority 2/3 (triaged and no follow up)
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Unable to lift vaccinated arm straight up.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea mild in morning
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had headache day of vaccine and I had 2 tylenol tablets 2 hours before vaccine given.
Systemic reaction (other): Nasal congestion
Release 11 — 6 months, dose 3
Symptoms: Chest pain, SOB, weakness. Cardiac catheterization with 2 stents placed.
Healthcare visit (other): See above
Release 11 — day 28, dose 4
Release 11 — day 42, dose 4
Symptoms: Nausea, headache, fatigue, mild cough
Release 12 — 3 months, dose 4
Release 12 — day 42, dose 5
Symptoms: Fatigue, muscle aches, nausea, night sweats
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 | Unevaluable event | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Atrial tachycardia | · | · | ✓ |
| SD | Catheterisation cardiac abnormal | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Coronary arterial stent insertion | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release