CZL-16521-48283
3 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
XZE-10034-00515
Child or adolescent in my care · Male · 2022-06-29
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-10
Registered in v-safe
- 2021-04-10
- 2021-04-15
-
2021-04-21
Survey response — day 21, dose 1MedDRA: Menstrual disorder — Feeling: GoodFree text: menstral cycle affected.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Dose 2 — Moderna
- 2021-04-28
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Poor · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Dizzy and light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-03
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Fatigue or tirednessFree text: Lightheaded dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-05
-
2021-05-19
Survey response — day 21, dose 2MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Cold symptoms- congestion, runny nose, cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-28
- 2021-06-02
- 2021-06-09
- 2021-07-28
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Pregnancy.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Dose 3 — Moderna
-
2022-04-30
Survey response — 12 months, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: PregnancyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 7 — day 21, dose 1
Symptoms: menstral cycle affected.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy and light headed
Systemic reaction (other): Lightheaded dizzy
Release 8 — day 21, dose 2
Symptoms: Cold symptoms- congestion, runny nose, cough.
Release 10 — 6 months, dose 2
Symptoms: Pregnancy.
Release 11 — 12 months, dose 2
Symptoms: Pregnancy
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 | Cough | ✓ | ✓ | ✓ |
| SD | Menstrual disorder | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pregnancy | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release