Z2B-14497-09873
4 vaccinations
9 coded responses
41 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 346 / FL
- Registered
- 2021-02-14
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-14
Registered in v-safe
-
2021-02-14
Dose 1 — Moderna
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-14
Dose 2 — Moderna
-
2021-03-14
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Just received the shot right nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: Sensory disturbance — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: If one of you understands energy work, you will get this. I feel like my energetic body is being assaulted. I teach qigong and can feel energy rushes but they are not controlled.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: There was definite heat at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus — Feeling: Good · Site: ItchingFree text: Last night, after I checked in with you itching at the injection site came on quickly and was almost intense. Made me want to scratch it like a strong insect bite. Went away when I went to bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
-
2021-04-18
Survey response — day 35, dose 2MedDRA: Adverse reaction, Fatigue — Feeling: GoodFree text: Once in awhile I feel the same fatigue I did right after my second shot. Might not be noticeable to some, but I am aware that Im not 100%. This has happened a couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
-
2021-06-13
Survey response — 3 months, dose 2MedDRA: Swelling — Feeling: GoodFree text: When I have been bitten by bugs, a wasp, tree ants, the swelling is bigger on my skin than it used to be.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-12
-
2021-11-17
Dose 3 — Moderna
- 2022-03-14
-
2022-05-07
Dose 4 — Moderna
- 2022-05-07
-
2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature decreased — Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: That temp seems low but it is usually 96.5!MedDRA releases: 2024-11 · check-in free text available
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2022-05-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesAdult check-in
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2022-05-10
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Muscle or body achesFree text: My spine always hurts. Not related to shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
-
2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: This is NOT because of boosterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-22
- 2022-05-30
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-08-08
- 2022-11-05
- 2023-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-14 | Moderna | |
| 2 | 2021-03-14 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
| 4 | 2022-05-07 | Moderna | No |
Free text
Release 5 — day 0, dose 2
Systemic reaction (other): Just received the shot right now
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): If one of you understands energy work, you will get this. I feel like my energetic body is being assaulted. I teach qigong and can feel energy rushes but they are not controlled.
Systemic reaction (other): There was definite heat at the injection site
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Last night, after I checked in with you itching at the injection site came on quickly and was almost intense. Made me want to scratch it like a strong insect bite. Went away when I went to bed.
Release 7 — day 35, dose 2
Symptoms: Once in awhile I feel the same fatigue I did right after my second shot. Might not be noticeable to some, but I am aware that Im not 100%. This has happened a couple of days.
Release 9 — 3 months, dose 2
Symptoms: When I have been bitten by bugs, a wasp, tree ants, the swelling is bigger on my skin than it used to be.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): That temp seems low but it is usually 96.5!
Systemic reaction (other): My spine always hurts. Not related to shot
Systemic reaction (other): This is NOT because of booster
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Sensory disturbance | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release