ZX8-39069-35289
5 vaccinations
7 coded responses
35 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 974 / OR
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: My right deltoid turned red and itchy yesterday and still today. I received nothing in that arm since the vaccine injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-16
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: I just received the vaccine an hour ago!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-15
Survey response — 3 months, dose 2MedDRA: Haemoglobin decreased, Pre-existing disease — Feeling: Fair · 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: Hemoglobin dropped to 7.6 and I was transfused 2 units on the 13th. We are unsure why. I am on hemodialysis, have multiple myeloma which has been in remission for awhile. I had a endoscopy and colonoscopy in late March which were okayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-15
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
-
2021-06-23
Call successfulDoes not wish to fill out VAERS report
-
2021-08-19
Dose 3 — Moderna
- 2021-09-16
- 2021-11-18
- 2022-02-17
-
2022-04-29
Dose 4 — Pfizer-BioNTech
-
2022-05-14
Survey response — day 14, dose 4MedDRA: Haemoglobin decreased, Hospitalisation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hospitalized for a hemoglobin of 4.7. They think I have a small bowel bleed.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
-
2022-07-29
Survey response — 3 months, dose 4MedDRA: Abdominal distension, Abdominal pain, Diarrhoea, Flatulence, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Abdominal bloating , some pain and loose stools with a lot of gas. · Healthcare visit (other): Office visitMedDRA releases: 2024-11 · check-in free text available
-
2022-07-29
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-08-01
-
2022-08-08
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-09-23
Dose 5 — Pfizer-BioNTech
-
2022-09-24
Survey response — days 1–6 daily, dose 5MedDRA: Pre-existing disease — Feeling: Fair · Joint pains, Abdominal painFree text: These are normal for meMedDRA releases: 2024-11 · check-in free text available
- 2022-12-23
-
2023-03-24
Survey response — 6 months, dose 5MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-08-19 | Moderna | No |
| 4 | 2022-04-29 | Pfizer-BioNTech | No |
| 5 | 2022-09-23 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — day 14, dose 1
Symptoms: My right deltoid turned red and itchy yesterday and still today. I received nothing in that arm since the vaccine injection.
Release 5 — day 0, dose 2
Systemic reaction (other): I just received the vaccine an hour ago!
Release 9 — 3 months, dose 2
Symptoms: Hemoglobin dropped to 7.6 and I was transfused 2 units on the 13th. We are unsure why. I am on hemodialysis, have multiple myeloma which has been in remission for awhile. I had a endoscopy and colonoscopy in late March which were okay
Release 11 — day 14, dose 4
Symptoms: Hospitalized for a hemoglobin of 4.7. They think I have a small bowel bleed.
Release 12 — 3 months, dose 4
Symptoms: Abdominal bloating , some pain and loose stools with a lot of gas.
Healthcare visit (other): Office visit
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): These are normal for me
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 | Abdominal distension | · | · | ✓ |
| SD | Abdominal pain | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Flatulence | · | · | ✓ |
| SD | Haemoglobin decreased | ✓ | ✓ | ✓ |
| SD | Hospitalisation | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release