ZYG-19189-14805
5 vaccinations
8 coded responses
52 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Nausea — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, NauseaFree text: When I got out of bed this morning, I felt nausea and like I was going to faint. I sat down on the floor and did not move for about 10 minutes. After that the feeling passed and has not returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-11-26
Dose 3 — Moderna
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2021-11-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-11-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-12-03
Health check-in — day 7, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-01
- 2022-01-07
-
2022-02-27
Survey response — 3 months, dose 3MedDRA: Pruritus, Rash — Feeling: GoodFree text: Recurring rash with itching on neck and inner arms.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
-
2022-06-10
Dose 4 — Moderna
-
2022-11-18
Dose 5 — ModernaCo-administered: Flu
-
2022-11-18
Survey response — day 0, dose 5MedDRA: Neuralgia — Feeling: Good · Site: PainFree text: Nerve pain in hand / armMedDRA releases: 2024-11 · check-in free text available
-
2022-11-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-11-20
- 2022-11-21
-
2022-11-22
Survey response — days 1–6 daily, dose 5MedDRA: Neck pain — Feeling: Good · Site: Pain · HeadacheFree text: Neck pain (this has been present since the booster)MedDRA releases: 2024-11 · check-in free text available
-
2022-11-23
Survey response — days 1–6 daily, dose 5MedDRA: Neck pain — Feeling: Good · HeadacheFree text: Neck pain, persistent since receiving boosterMedDRA releases: 2024-11 · check-in free text available
-
2022-11-24
Survey response — days 1–6 daily, dose 5MedDRA: Neck pain — Feeling: GoodFree text: Neck pain (slightly better today)MedDRA releases: 2024-11 · check-in free text available
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2022-11-25
Survey response — day 7, dose 5MedDRA: Neck pain — Feeling: GoodFree text: Mild neck painMedDRA releases: 2024-11 · check-in free text available
- 2022-12-02
- 2022-12-09
- 2022-12-16
- 2022-12-25
- 2022-12-30
-
2023-02-17
Survey response — 3 months, dose 5MedDRA: COVID-19 — 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 consultationMedDRA releases: 2024-11
-
2023-02-17
Report sent to call center — 3 months, dose 5Be 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)
- 2023-02-20
-
2023-02-20
Call successfulCompleted over the phone
- 2023-05-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-26 | Moderna | No |
| 4 | 2022-06-10 | Moderna | No |
| 5 | 2022-11-18 | Moderna | Flu |
Call center
1 call center case
1 successful
VAERS report filed, before or during a call: 1
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): When I got out of bed this morning, I felt nausea and like I was going to faint. I sat down on the floor and did not move for about 10 minutes. After that the feeling passed and has not returned.
Release 11 — 3 months, dose 3
Symptoms: Recurring rash with itching on neck and inner arms.
Release 12 — day 0, dose 5
Systemic reaction (other): Nerve pain in hand / arm
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Neck pain (this has been present since the booster)
Systemic reaction (other): Neck pain, persistent since receiving booster
Systemic reaction (other): Neck pain (slightly better today)
Release 12 — day 7, dose 5
Systemic reaction (other): Mild neck pain
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 | COVID-19 | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release