ZYH-10430-15751
5 vaccinations
10 coded responses
61 check-ins
10 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-25
-
2021-03-02
Dose 2 — Moderna
- 2021-03-02
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · HeadacheAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: Insomnia on 3/6/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: GoodFree text: Least amount of InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
-
2021-06-01
Survey response — 3 months, dose 2MedDRA: Ear infection, Hordeolum — Feeling: GoodFree text: Right Ear infection and stye in eye on 5/12/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-31
Survey response — 6 months, dose 2MedDRA: Ear pain — Feeling: FairFree text: Got flu shot last week. Have a little ear ache the last few days. No fever. Maybe a little sinus thing going on.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pruritus, Swelling — Feeling: FairFree text: For 3 days after injection .half dollar size raised red spot that was itchyMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-21
-
2021-11-27
Survey response — day 35, dose 3MedDRA: Gastrointestinal infection, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Gastro infection · Healthcare visit (other): Visit to internistMedDRA releases: 2024-11 · check-in free text available
-
2021-11-27
Report sent to call center — day 35, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-11-30
-
2021-12-01
Call successfulDoes not wish to fill out VAERS report
-
2021-12-04
Survey response — day 42, dose 3MedDRA: Respiratory disorder, Unevaluable event — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Upper respiratory issues · Healthcare visit (other): Blood work being done MondayMedDRA releases: 2024-11 · check-in free text available
-
2021-12-04
Report sent to call center — day 42, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-01-22
-
2022-04-16
Dose 4 — ModernaCo-administered: Pneumonia
- 2022-04-16
-
2022-04-17
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Appetite disorder — Feeling: Fair · Site: Pain, Redness · HeadacheFree text: Appetite offMedDRA releases: 2024-11 · check-in free text available
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-22
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-05-28
-
2022-07-16
Survey response — 3 months, dose 4MedDRA: Gastroenteritis viral — Feeling: FairFree text: Stomach virusMedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 5 — Pfizer-BioNTech
- 2022-10-01
-
2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
-
2022-10-06
Survey response — days 1–6 daily, dose 5MedDRA: Lymph node pain — Feeling: FairFree text: Neck glands soreMedDRA releases: 2024-11 · check-in free text available
- 2022-10-07
- 2022-10-15
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-31
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-04-16 | Moderna | Pneumonia |
| 5 | 2022-09-30 | Pfizer-BioNTech | No |
Call center
2 call center cases
2 successful
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Insomnia on 3/6/2021
Systemic reaction (other): Least amount of Insomnia
Release 8 — 3 months, dose 2
Symptoms: Right Ear infection and stye in eye on 5/12/2021
Release 9 — 6 months, dose 2
Symptoms: Got flu shot last week. Have a little ear ache the last few days. No fever. Maybe a little sinus thing going on.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): For 3 days after injection .half dollar size raised red spot that was itchy
Release 10 — day 35, dose 3
Release 10 — day 42, dose 3
Symptoms: Upper respiratory issues
Healthcare visit (other): Blood work being done Monday
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Appetite off
Release 12 — 3 months, dose 4
Symptoms: Stomach virus
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Neck glands sore
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 | · | · | ✓ |
| HCVO | Unevaluable event | · | · | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Ear pain | ✓ | · | ✓ |
| SD | Gastroenteritis viral | · | · | ✓ |
| SD | Gastrointestinal infection | · | · | ✓ |
| SD | Hordeolum | ✓ | ✓ | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Appetite disorder | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release