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ZYK-14585-44479

3 vaccinations 3 coded responses 25 check-ins 3 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
071 / NJ
Registered
2021-02-28
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-02-28
    Registered in v-safe
  3. 2021-02-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Pyrexia, Rhinorrhoea — Feeling: Good · Fever · Chills, Fatigue or tiredness
    Free text: Please Note: My 1st vaccine was on Thursday 2/25. I did not register or report symptoms until 2/28. Two days after my vaccine I had fatigue, followed by chills, fever, and running nose. That was actually late yesterday early morning today. Right now I feel fine. All symptoms seem to have subsided.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-25
    Dose 2 — Moderna
  10. 2021-03-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Fatigue or tiredness
    Adult check-in
  13. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-08
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-06
    Survey response — day 42, dose 2
    MedDRA: Cough, Oropharyngeal pain — Feeling: Good
    Free text: Coughing starting 4/25. First 3 days coughing was constant. Third day also had slight sore throat. Currently, substantially less coughing. No sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-24
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-01
    Dose 3 — Moderna
  26. 2021-09-23
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-12-02
    Survey response — 3 months, dose 3
    MedDRA: Office visit, Pre-existing disease, Red blood cell sedimentation rate increased, Rheumatoid arthritis — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Symptoms: Since receiving 3rd covid vaccine on 9/1 my segmentation rate (rheumatoid arthritis) dramatically increased from 14 to 87. Lab work was done on 10/4. Also RA symptoms worsened. Prior to 3rd vaccine seg rate/symptoms were good w/methotrexate treatment · Healthcare visit (other): Physician office f/u visit
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-02
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  29. 2021-12-06
  30. 2021-12-08
    Call successful
    Participant prefers to complete VAERS report online
  31. 2022-03-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-09-01
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-25Moderna
32021-09-01Moderna No

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-28

Systemic reaction (other): Please Note: My 1st vaccine was on Thursday 2/25. I did not register or report symptoms until 2/28. Two days after my vaccine I had fatigue, followed by chills, fever, and running nose. That was actually late yesterday early morning today. Right now I feel fine. All symptoms seem to have subsided.

Release 8 — day 42, dose 2

2021-05-06

Symptoms: Coughing starting 4/25. First 3 days coughing was constant. Third day also had slight sore throat. Currently, substantially less coughing. No sore throat.

Release 10 — 3 months, dose 3

2021-12-02

Symptoms: Since receiving 3rd covid vaccine on 9/1 my segmentation rate (rheumatoid arthritis) dramatically increased from 14 to 87. Lab work was done on 10/4. Also RA symptoms worsened. Prior to 3rd vaccine seg rate/symptoms were good w/methotrexate treatment cut off by CDC
Healthcare visit (other): Physician office f/u visit

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

FieldPreferred term2021-092023-042024-11
HCVOOffice visit · · ✓
SDCough ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRed blood cell sedimentation rate increased · · ✓
SDRheumatoid arthritis · · ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release