4QZ-12280-66726
5 vaccinations
10 coded responses
48 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 928 / CA
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-09
Registered in v-safe
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Dose 2 — Moderna
- 2021-03-04
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Fever · ChillsFree text: The chills and fever happened yesterday evening and lasted an hour.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: Prickly feeling in both hands for about 30 mins yesterday evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-11-04
Dose 3 — Moderna
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Fatigue, Headache — Feeling: GoodFree text: Headaches and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Dose 4 — Moderna
- 2022-04-25
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2022-04-27
- 2022-04-28
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 21, dose 4MedDRA: Visual impairment — Feeling: GoodFree text: Eye vision has changedMedDRA releases: 2024-11 · check-in free text available
-
2022-05-23
Survey response — day 28, dose 4MedDRA: Vision blurred, Visual impairment — Feeling: GoodFree text: Change in vision, blurry off and on.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-06-06
-
2022-07-25
Survey response — 3 months, dose 4MedDRA: Fatigue, Headache, Visual impairment — Feeling: GoodFree text: Fatigue, headaches, vision change,MedDRA releases: 2024-11 · check-in free text available
-
2022-09-30
Dose 5 — Pfizer-BioNTech
- 2022-10-01
- 2022-10-02
- 2022-10-03
-
2022-10-04
Survey response — days 1–6 daily, dose 5MedDRA: Hot flush — Feeling: GoodFree text: Hot flashesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-30
-
2022-11-04
Survey response — day 35, dose 5MedDRA: Dizziness, Fatigue, Feeling abnormal, Headache, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Each vaccine I get headaches, light headed, tired? not until two - three months do I feel back to myself.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
-
2022-12-30
Survey response — 3 months, dose 5MedDRA: Headache, Paraesthesia, Vision blurred — Feeling: GoodFree text: Blurred vision , headaches and tingling hands.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-31
Survey response — 6 months, dose 5MedDRA: Headache, Visual impairment, Wheezing — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-30 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The chills and fever happened yesterday evening and lasted an hour.
Systemic reaction (other): Prickly feeling in both hands for about 30 mins yesterday evening.
Release 11 — 12 months, dose 2
Symptoms: Headaches and fatigue
Release 11 — day 21, dose 4
Symptoms: Eye vision has changed
Release 11 — day 28, dose 4
Symptoms: Change in vision, blurry off and on.
Release 12 — 3 months, dose 4
Symptoms: Fatigue, headaches, vision change,
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Hot flashes
Release 12 — day 35, dose 5
Symptoms: Each vaccine I get headaches, light headed, tired? not until two - three months do I feel back to myself.
Release 12 — 3 months, dose 5
Symptoms: Blurred vision , headaches and tingling hands.
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 | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Hot flush | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release