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ZYP-17122-84335

4 vaccinations 12 coded responses 53 check-ins 12 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
857 / AZ
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Fair · Nausea
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  11. 2021-02-12
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site induration, Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Good
    Free text: On day 10 I developed a large (baseball sized) raised, bright red lump on my arm where I received the injection. It was hard, swollen, painful and itchy. It lasted 3 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Dose 2 — Moderna
  14. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Widespread pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough, Throat irritation — Feeling: Fair · Site: Pain · Chills, Joint pains
    Free text: I seem to have a slight cough and scratchy throat. Not horrible and not treating it but I didnt have it yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Cough, Oropharyngeal pain, Respiratory tract congestion — Feeling: Fair
    Free text: Sore throat, dry cough, mild congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Cough, Oropharyngeal pain, Pyrexia — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Cough, sore throat, fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-02
    Report sent to call center — day 35, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  27. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-06-14
  30. 2021-06-15
  31. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  32. 2021-11-17
    Dose 3 — Moderna
  33. 2021-11-17
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Arthralgia, Malaise, Vaccine positive rechallenge — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: The joints in my hands hurt really badly. I got sick from my 2nd does as well but this experience is more painful.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-22
    Survey response — days 1–6 daily, dose 3
    MedDRA: Irritability — Feeling: Good
    Free text: I am irritable with my coworkers but I suspect that it has nothing to do with the vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  39. 2021-11-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  40. 2021-12-01
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-10
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-15
    Survey response — day 28, dose 3
    MedDRA: Cough, Rhinorrhoea, Throat irritation — Feeling: Fair
    Free text: Cough, scratchy throat, runny nose
    MedDRA releases: 2024-11 · check-in free text available
  43. 2021-12-22
    Survey response — day 35, dose 3
    MedDRA: Abdominal discomfort, Influenza like illness — Feeling: Fair · Be unable to work or attend school
    Free text: Flu like symptoms with intestinal distress
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-01-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-02-16
    Survey response — 3 months, dose 3
    MedDRA: Bronchitis — 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 consultation
    Free text: Bronchitis
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-02-16
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  47. 2022-02-18
  48. 2022-02-18
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  49. 2022-06-23
    Dose 4 — Moderna
  50. 2022-06-24
    Survey response — days 1–6 daily, dose 4
    MedDRA: Eye irritation, Photophobia — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: My eyes are burning and I am sensitive to light
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-06-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches
    Adult check-in
  52. 2022-06-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  53. 2022-06-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  54. 2022-06-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  55. 2022-06-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  56. 2022-06-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  57. 2022-07-07
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  58. 2022-07-14
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-07-21
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  60. 2022-07-28
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  61. 2022-08-06
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  62. 2022-09-22
    Survey response — 3 months, dose 4
    MedDRA: COVID-19 — Feeling: Good
    Free text: Covid 19 infection
    MedDRA releases: 2024-11 · check-in free text available
  63. 2022-12-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  64. 2023-06-26
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna
32021-11-17Moderna No
42022-06-23Moderna No

Call center

2 call center cases

2 successful

See the call center timeline

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: On day 10 I developed a large (baseball sized) raised, bright red lump on my arm where I received the injection. It was hard, swollen, painful and itchy. It lasted 3 days.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Widespread pain.

2021-02-28

Systemic reaction (other): I seem to have a slight cough and scratchy throat. Not horrible and not treating it but I didnt have it yesterday.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Sore throat, dry cough, mild congestion

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Cough, sore throat, fever

Release 10 — days 1–6 daily, dose 3

2021-11-18

Systemic reaction (other): The joints in my hands hurt really badly. I got sick from my 2nd does as well but this experience is more painful.

2021-11-22

Systemic reaction (other): I am irritable with my coworkers but I suspect that it has nothing to do with the vaccine.

Release 10 — day 28, dose 3

2021-12-15

Symptoms: Cough, scratchy throat, runny nose

Release 10 — day 35, dose 3

2021-12-22

Symptoms: Flu like symptoms with intestinal distress

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Bronchitis

Release 12 — days 1–6 daily, dose 4

2022-06-24

Systemic reaction (other): My eyes are burning and I am sensitive to light

Release 12 — 3 months, dose 4

2022-09-22

Symptoms: Covid 19 infection

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
SDAbdominal discomfort · · ✓
SDBronchitis · · ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDInfluenza like illness · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site nodule ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDThroat irritation · · ✓
SROArthralgia · · ✓
SROCough ✓ ✓ ✓
SROEye irritation · · ✓
SROIrritability · · ✓
SROMalaise · · ✓
SROPain ✓ ✓ ✓
SROPhotophobia · · ✓
SROThroat irritation ✓ ✓ ✓
SROVaccine positive rechallenge · · ✓

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