ZXX-36228-75093
6 vaccinations
8 coded responses
35 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 432 / OH
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-24
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Pollakiuria — Feeling: GoodFree text: First three days frequent urinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-11-02
Dose 3 — Moderna
- 2022-02-22
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Haemoglobin decreased — Feeling: Fair · Fatigue or tirednessFree text: I am being checked out for low hemaglobin. Nothing to do with shotMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-27
-
2022-05-04
Survey response — day 14, dose 4MedDRA: Bruxism, Muscle tightness, Pain in jaw — Feeling: GoodFree text: Jaw pain on side where I got the shot. Tight jaw. Grinding teeth. No other reason I know of.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-11
Survey response — day 21, dose 4MedDRA: COVID-19, Oropharyngeal pain, Pre-existing disease, Productive cough, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I thought it was my usual May allergic reaction but I have covid. Sneezing. Lots of phlegm. Had a sore throat.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-18
Survey response — day 28, dose 4MedDRA: Arthralgia, Cough, Oropharyngeal pain, SARS-CoV-2 test positive, Sneezing — 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 professional · Telehealth, virtual health, or email health consultationFree text: Tested positive for covid. Joint pain. Coughing, sneezing, sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Report sent to call center — day 28, 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)
-
2022-05-19
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-05-25
- 2022-06-01
-
2022-07-10
Dose 5 — Moderna
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2022-07-20
Survey response — 3 months, dose 4MedDRA: Cough, Laboratory test abnormal, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: GoodFree text: I don't remember when you last contacted me. I did test positive May 10. I thought it was just my Spring tree allergies. Sneezing. Coughing. Runny nose. A sore throat.MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Dose 6 — Moderna
- 2022-10-10
- 2022-10-17
- 2022-10-24
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2022-12-12
Survey response — 3 months, dose 6MedDRA: Dysphonia, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sneezing! Mucous nose and sore throat, hoarseMedDRA releases: 2024-11 · check-in free text available
-
2023-03-13
Survey response — 6 months, dose 6MedDRA: Breast pain, Emergency care, Fear, Pneumonia — Feeling: Good · Get care from a doctor or other healthcare professional · Emergency room or emergency department visitMedDRA releases: 2024-11
-
2023-03-13
Report sent to call center — 6 months, dose 6Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
- 2023-03-14
-
2023-05-11
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-07-10 | Moderna | No |
| 6 | 2022-09-12 | Moderna | No |
Call center
2 call center cases
2 successful
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): First three days frequent urination
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I am being checked out for low hemaglobin. Nothing to do with shot
Release 11 — day 14, dose 4
Symptoms: Jaw pain on side where I got the shot. Tight jaw. Grinding teeth. No other reason I know of.
Release 11 — day 21, dose 4
Symptoms: I thought it was my usual May allergic reaction but I have covid. Sneezing. Lots of phlegm. Had a sore throat.
Release 11 — day 28, dose 4
Symptoms: Tested positive for covid. Joint pain. Coughing, sneezing, sore throat
Release 12 — 3 months, dose 4
Symptoms: I don't remember when you last contacted me. I did test positive May 10. I thought it was just my Spring tree allergies. Sneezing. Coughing. Runny nose. A sore throat.
Release 12 — 3 months, dose 6
Symptoms: Sneezing! Mucous nose and sore throat, hoarse
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 | Arthralgia | · | · | ✓ |
| SD | Breast pain | · | · | ✓ |
| SD | Bruxism | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dysphonia | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Muscle tightness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in jaw | · | · | ✓ |
| SD | Pneumonia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Haemoglobin decreased | · | · | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release