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Z2J-24345-90448

4 vaccinations 8 coded responses 34 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
532 / WI
Registered
2021-03-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-23
    Registered in v-safe
  2. 2021-03-23
    Dose 1 — Moderna
  3. 2021-03-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain
    Free text: COPD
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Increased viscosity of upper respiratory secretion — Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness
    Free text: Excessive mucus in my throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersomnia — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I went to bed at 9:45pm last night and slept right through until 3:20om this afternoon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  9. 2021-03-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-20
    Dose 2 — Moderna
  12. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: A bit dizzy upon standing from a lying or sitting position.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting
    Adult check-in
  14. 2021-04-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate increased — Feeling: Good · Nausea
    Free text: Extremely rapid heartbeat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-04
    Survey response — day 14, dose 2
    MedDRA: Constipation, Decreased appetite, Diarrhoea, Fatigue, Hypersomnia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Extremely tired, sleeping 12-16 hours and still tired, Constipation, followed by aggressive diahreaha. Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-20
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-21
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-11-16
    Dose 3 — Moderna
  24. 2022-04-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-05-17
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  26. 2022-05-20
    Dose 4 — Moderna
  27. 2022-05-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache
    Free text: I Have COPD. Thankfully no problems thus far
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  29. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  30. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-05-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-27
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-06-03
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-10
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-17
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-24
    Survey response — day 35, dose 4
    MedDRA: Bone pain, Cough, Decreased appetite, Discomfort, Headache, Insomnia, Myalgia, Paranasal sinus discomfort, Rhinorrhoea, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Achy muscles and bones. Headache, sinus pressure and congestion. Cough. Runny nose. Loss of appetite. Trouble sleeping, trouble getting comfortable and staying comfortable during sleep hours
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-07-01
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  39. 2023-05-20
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna
32021-11-16Moderna No
42022-05-20Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-24

Systemic reaction (other): COPD

2021-03-25

Systemic reaction (other): Excessive mucus in my throat.

2021-03-26

Systemic reaction (other): I went to bed at 9:45pm last night and slept right through until 3:20om this afternoon

Release 7 — days 1–6 daily, dose 2

2021-04-22

Systemic reaction (other): A bit dizzy upon standing from a lying or sitting position.

2021-04-24

Systemic reaction (other): Extremely rapid heartbeat

Release 8 — day 14, dose 2

2021-05-04

Symptoms: Extremely tired, sleeping 12-16 hours and still tired, Constipation, followed by aggressive diahreaha. Loss of appetite

Release 11 — days 1–6 daily, dose 4

2022-05-21

Systemic reaction (other): I Have COPD. Thankfully no problems thus far

Release 12 — day 35, dose 4

2022-06-24

Symptoms: Achy muscles and bones. Headache, sinus pressure and congestion. Cough. Runny nose. Loss of appetite. Trouble sleeping, trouble getting comfortable and staying comfortable during sleep hours

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

FieldPreferred term2021-092023-042024-11
SDBone pain · · ✓
SDConstipation ✓ ✓ ✓
SDCough · · ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDiscomfort · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDHypersomnia ✓ ✓ ✓
SDInsomnia · · ✓
SDMyalgia · · ✓
SDParanasal sinus discomfort · · ✓
SDRhinorrhoea · · ✓
SDSinus congestion · · ✓
SRODizziness ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROIncreased viscosity of upper respiratory secretion ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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