ZYS-31478-93691
4 vaccinations
7 coded responses
46 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 222 / VA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Headache — Feeling: Fair · Headache, Diarrhea · Be unable to do your normal daily activitiesFree text: I had dental work today and take antibiotics before it- therefore the diarrhea ( I think) The preparation for 2 crowns caused the headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-23
- 2021-03-02
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication, Somnolence — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slept for most of day after taking Tylenol and drinking waterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Injection site discomfort, Injection site pruritus — Feeling: GoodFree text: Right arm is just a bit sore and itchy at site of second injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-06-20
Survey response — 3 months, dose 2MedDRA: Breast swelling, Fatigue, Heart rate increased, Pruritus, Rash — Feeling: GoodFree text: Before being vaccinated, in February/March 2020, I believe I had Covid. Various systems occurred after recovering, heart rate increasing with slight exercise, fatigue, and various rashes. Recently itching and slight swelling around breast. All improvMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-14
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-27
Survey response — 6 months, dose 3MedDRA: Alopecia areata, Arthritis, Joint instability, Office visit — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: Arthritis- knee gave way. Alopecia areata · Healthcare visit (other): Dr.'s officeMedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-02
-
2022-08-20
Dose 4 — Moderna
-
2022-08-22
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Chills — Feeling: Good · Chills, Joint painsFree text: I believe the two symptoms are not related to the vaccine. Knees frequently ache. This time of day, I feel a bit chilly.MedDRA releases: 2024-11 · check-in free text available
- 2022-08-23
- 2022-08-24
- 2022-08-25
- 2022-08-26
- 2022-08-27
- 2022-09-17
- 2022-09-24
- 2022-10-01
-
2022-11-19
Survey response — 3 months, dose 4MedDRA: Office visit, Palpitations — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: palpations, probable related to my current medication · Healthcare visit (other): saw primary DrMedDRA releases: 2024-11 · check-in free text available
-
2022-11-19
Report sent to call center — 3 months, dose 4Get care from a doctor or other healthcare professional1 call case(s)
- 2022-11-21
- 2022-11-21
- 2023-02-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-08-20 | Moderna | No |
Call center
2 call center cases
2 unsuccessful
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I had dental work today and take antibiotics before it- therefore the diarrhea ( I think) The preparation for 2 crowns caused the headache.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Slept for most of day after taking Tylenol and drinking water
Release 6 — day 14, dose 2
Symptoms: Right arm is just a bit sore and itchy at site of second injection
Release 9 — 3 months, dose 2
Symptoms: Before being vaccinated, in February/March 2020, I believe I had Covid. Various systems occurred after recovering, heart rate increasing with slight exercise, fatigue, and various rashes. Recently itching and slight swelling around breast. All improv cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Arthritis- knee gave way. Alopecia areata
Healthcare visit (other): Dr.'s office
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I believe the two symptoms are not related to the vaccine. Knees frequently ache. This time of day, I feel a bit chilly.
Release 12 — 3 months, dose 4
Symptoms: palpations, probable related to my current medication
Healthcare visit (other): saw primary Dr
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 | · | · | ✓ |
| SD | Alopecia areata | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Breast swelling | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Joint instability | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release