4ZW-20187-69525
4 vaccinations
7 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 958 / CA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Nasal congestion, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Stuffy nose, sore throat & mucisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — day 7, dose 1MedDRA: Oropharyngeal pain, Secretion discharge — Feeling: FairFree text: Mucus, slight sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
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2021-02-03
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body achesAdult check-in
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2021-02-03
Survey response — day 28, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: My left arm qhere my first shot still get intermittent pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
-
2021-02-10
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Joint pains, Muscle or body achesAdult check-in
- 2021-02-17
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2021-02-24
Survey response — day 21, dose 2MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: After my 2nd vaccination my arm hurts alot. It sewms ok during the day but at night it keeps me up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-10
Survey response — day 35, dose 2MedDRA: Pain in extremity, Sleep disorder — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The arm i had both my shots in hurts alot. Even wakes me in my sleep. Going to see an MD today. Got the 2nd shot on 2/3/2021MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-17
Survey response — day 42, dose 2MedDRA: Impaired work ability, Office visit, Pain in extremity, Sleep disorder — Feeling: FairFree text: The arm i got thw vaccine in still hurts. Went to urgent care. It makes sleeping and work uncomfortable.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-08-04
-
2022-01-03
Dose 3 — Moderna
- 2022-02-03
-
2022-10-07
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-07
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2022-10-08
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint painsAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
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2023-01-08
Survey response — 3 months, dose 4MedDRA: Aphonia, Cough, Headache, Oropharyngeal pain, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2022-01-03 | Moderna | No |
| 4 | 2022-10-07 | Pfizer-BioNTech | Flu |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Stuffy nose, sore throat & mucis
Release 1 — day 7, dose 1
Systemic reaction (other): Mucus, slight sore throat
Release 3 — day 28, dose 1
Symptoms: My left arm qhere my first shot still get intermittent pain.
Release 4 — day 21, dose 2
Symptoms: After my 2nd vaccination my arm hurts alot. It sewms ok during the day but at night it keeps me up.
Release 5 — day 35, dose 2
Symptoms: The arm i had both my shots in hurts alot. Even wakes me in my sleep. Going to see an MD today. Got the 2nd shot on 2/3/2021
Release 5 — day 42, dose 2
Symptoms: The arm i got thw vaccine in still hurts. Went to urgent care. It makes sleeping and work uncomfortable.
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 | Aphonia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Secretion discharge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release