4ZB-14428-32041
4 vaccinations
11 coded responses
41 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
- 2021-01-22
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
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2021-02-05
Survey response — day 14, dose 1MedDRA: Chest discomfort, Vision blurred — Feeling: FairFree text: Tight chest. Next day, blurry vision. Both incidents were brief, then gone in a few hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
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2021-02-15
Dose 2 — Moderna
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Tightness in chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort — Feeling: Fair · Joint painsFree text: Tight chestMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
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2021-03-29
Survey response — day 42, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Asthma/allergies to spring pollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-08-16
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2022-01-29
Dose 3 — Moderna
- 2022-02-15
-
2022-10-05
Dose 4 — Moderna
- 2022-10-05
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2022-10-06
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
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2022-10-07
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight dizziness in a.m.MedDRA releases: 2024-11 · check-in free text available
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2022-10-08
Survey response — days 1–6 daily, dose 4MedDRA: Post-acute COVID-19 syndrome — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I have had long Covid since mid-April.MedDRA releases: 2024-11 · check-in free text available
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2022-10-09
Survey response — days 1–6 daily, dose 4MedDRA: Discomfort — Feeling: Fair · Fatigue or tirednessFree text: Slight lymph node discomfortMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
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2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: Cough — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Coughing yesterday and half the nightMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-19
- 2022-10-26
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2022-11-02
Survey response — day 28, dose 4MedDRA: Gastrointestinal disorder, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Gut issues, seems to relate to green vegetables. Have had off and on since early April, part of 'long' Covid(?).MedDRA releases: 2024-11 · check-in free text available
- 2022-11-09
- 2022-11-16
- 2023-01-04
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2023-04-07
Survey response — 6 months, dose 4MedDRA: Post-acute COVID-19 syndrome, Respiratory tract infection — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2022-01-29 | Moderna | No |
| 4 | 2022-10-05 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Tight chest. Next day, blurry vision. Both incidents were brief, then gone in a few hours.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Tightness in chest
Systemic reaction (other): Tight chest
Release 6 — day 42, dose 2
Symptoms: Asthma/allergies to spring pollen
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Dizziness
Systemic reaction (other): Slight dizziness in a.m.
Systemic reaction (other): I have had long Covid since mid-April.
Systemic reaction (other): Slight lymph node discomfort
Systemic reaction (other): Coughing yesterday and half the night
Release 12 — day 28, dose 4
Symptoms: Gut issues, seems to relate to green vegetables. Have had off and on since early April, part of 'long' Covid(?).
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 | Chest discomfort | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Post-acute COVID-19 syndrome | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | · | · | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Post-acute COVID-19 syndrome | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release