Z2F-67023-85808
4 vaccinations
6 coded responses
30 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 816 / CO
- Registered
- 2021-11-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-03-24
Dose 2 — Moderna
-
2021-11-12
Registered in v-safe
-
2021-11-12
Dose 3 — Moderna
-
2021-11-12
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature decreased, Chills, Cold sweat, Fatigue, Nausea — Feeling: Fair · Chills, Fatigue or tiredness, NauseaFree text: Last night I suddenly became clammy with chills., but temp was normal- 97.6. I was a little queasy. I felt like I had to lay down immediately. Then it was over. 5 min like that. Today just a little fatigued.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: noMedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
-
2021-11-19
Survey response — day 7, dose 3MedDRA: Abdominal discomfort — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: No pain. I just have mild pressure in my lower abdomen.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-03
- 2021-12-11
- 2021-12-17
- 2021-12-24
- 2022-05-13
-
2022-05-20
Dose 4 — ModernaCo-administered: Shingles
-
2022-05-20
Health check-in — day 0, dose 4Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-25
- 2022-05-26
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
- 2022-06-24
- 2022-07-01
- 2022-08-19
-
2022-11-18
Survey response — 6 months, dose 4MedDRA: Chills, Tremor — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had the 4th Booster and the flu at the same time. Horrible chills and uncontrollable shaking. It calmed down when I finally got warm. Good Grief! I hope I'm done with vaxs for a while! ???MedDRA releases: 2024-11 · check-in free text available
- 2023-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | No |
| 2 | 2021-03-24 | Moderna | No |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-05-20 | Moderna | Shingles |
Free text
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Last night I suddenly became clammy with chills., but temp was normal- 97.6. I was a little queasy. I felt like I had to lay down immediately. Then it was over. 5 min like that. Today just a little fatigued.
Systemic reaction (other): No
Systemic reaction (other): no
Release 10 — day 7, dose 3
Systemic reaction (other): No pain. I just have mild pressure in my lower abdomen.
Release 12 — 6 months, dose 4
Symptoms: I had the 4th Booster and the flu at the same time. Horrible chills and uncontrollable shaking. It calmed down when I finally got warm. Good Grief! I hope I'm done with vaxs for a while! ???
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 | Chills | · | · | ✓ |
| SD | Tremor | · | · | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Body temperature decreased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release