2ZN-18922-70401
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 109 / NY
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QQK-11467-92853
Child or adolescent in my care · · 2021-07-21
Timeline
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2021-03-04
Registered in v-safe
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2021-03-04
Dose 1 — Moderna
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2021-03-04
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-03-05
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-07
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Disturbance in attention, Neck pain, Photophobia, Rhinorrhoea, Vision blurred, Visual impairment — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body achesFree text: To be particular: a runny nose and a pain in my neck that's affecting my equilibrium. And my eyesight seems wrong, sensitive to light a little and trouble with focusing - need to concentrate harder.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Fair · Site: Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I slept almost 12 hours, well into the afternoon. So, I feel good now that I'm awake. Every time I woke up, I fell right back to sleep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-19
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, HeadacheAdult check-in
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · HeadacheFree text: Runny nose - moderateMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
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2021-05-07
Survey response — day 35, dose 2MedDRA: Injection site pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Debilitating pain at the injection site and the whole bicep. The pain started last Friday April 30. It's always a level 3 pain and when I move my arm, level 7. My range of motion has improved from almost none to 75%, still with pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 42, dose 2MedDRA: Pain in extremity — Feeling: FairFree text: Only that my arm still hurts from two weeks ago when the pain was debilitating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-01
- 2021-09-30
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2021-12-11
Dose 3 — Moderna
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2021-12-12
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Toothache — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: My teeth were hurting last night, like I'd been punched on my jaw.MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-12-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Joint painsAdult check-in
- 2021-12-16
- 2021-12-17
- 2021-12-18
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2021-12-25
Survey response — day 14, dose 3MedDRA: Feeling jittery, Feeling of body temperature change, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bad cold. Runny nose. Sore throat. Internal thermometer askew - hot/cold/jittery.MedDRA releases: 2024-11 · check-in free text available
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2022-01-01
Survey response — day 21, dose 3MedDRA: Lower respiratory tract infection, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have a cold, moved from head to chest. Feels like just a cold. Getting better though. Rapid tested negative 12/26.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-08
- 2022-01-15
- 2022-01-22
- 2022-03-12
- 2022-06-11
- 2022-12-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-12-11 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): To be particular: a runny nose and a pain in my neck that's affecting my equilibrium. And my eyesight seems wrong, sensitive to light a little and trouble with focusing - need to concentrate harder.
Systemic reaction (other): I slept almost 12 hours, well into the afternoon. So, I feel good now that I'm awake. Every time I woke up, I fell right back to sleep.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Runny nose - moderate
Release 8 — day 35, dose 2
Symptoms: Debilitating pain at the injection site and the whole bicep. The pain started last Friday April 30. It's always a level 3 pain and when I move my arm, level 7. My range of motion has improved from almost none to 75%, still with pain.
Release 8 — day 42, dose 2
Symptoms: Only that my arm still hurts from two weeks ago when the pain was debilitating.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My teeth were hurting last night, like I'd been punched on my jaw.
Release 10 — day 14, dose 3
Symptoms: Bad cold. Runny nose. Sore throat. Internal thermometer askew - hot/cold/jittery.
Release 10 — day 21, dose 3
Symptoms: Still have a cold, moved from head to chest. Feels like just a cold. Getting better though. Rapid tested negative 12/26.
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 | Feeling jittery | · | · | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lower respiratory tract infection | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Balance disorder | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Photophobia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Toothache | · | · | ✓ |
| SRO | Vision blurred | · | · | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release