Z2T-12478-49040
4 vaccinations
9 coded responses
47 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 238 / VA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-10
-
2021-03-12
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Nope .. easy peasy and very excited to get the shot !!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-27
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Survey response — day 0, dose 2MedDRA: Nausea — Feeling: Fair · Site: Pain, SwellingFree text: Buried a pet cat after my shot .. not sure what current naseau is from. . .MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-04
- 2021-04-06
- 2021-04-07
- 2021-04-09
- 2021-04-17
- 2021-04-23
- 2021-05-01
- 2021-05-07
- 2021-05-15
- 2021-07-02
- 2021-10-01
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2021-12-09
Dose 3 — ModernaCo-administered: Shingles
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2021-12-09
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, SwellingFree text: I expect side effects about bedtime tonight, about 11:00 p.m.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-11
Survey response — days 1–6 daily, dose 3MedDRA: Discomfort, Joint swelling, Musculoskeletal discomfort, Peripheral swelling — Feeling: Fair · Site: Pain · Fever · Be unable to do your normal daily activitiesFree text: Extreme discomfort under my right arm (lymph nodes?) and into my back, same side i got my shot. My right wrist and hand feel swollen also.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: GoodFree text: Under-arm pain FINALLY let up overnight. No discomfort today.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Insomnia — Feeling: GoodFree text: Under-arm pain resurfaced last night .. it was difficult to sleep, but it was gone by the time I woke up, 7am. Are you reading this?MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-15
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-10
-
2022-05-26
Dose 4 — Moderna
- 2022-05-26
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2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Headache · Be unable to do your normal daily activitiesAdult check-in
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2022-05-28
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain — Feeling: Fair · Site: Pain · Fever · Headache · Be unable to do your normal daily activitiesFree text: Lymph node pain was bad overnight but today, suddenly, it's all gone !MedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · HeadacheFree text: ** not sure headache is related to the injection.MedDRA releases: 2024-11 · check-in free text available
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2022-05-30
Survey response — days 1–6 daily, dose 4MedDRA: Headache — Feeling: FairFree text: Very minor headache, probably from yard work yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-31
- 2022-06-01
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-25
- 2022-11-24
- 2023-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-12-09 | Moderna | Shingles |
| 4 | 2022-05-26 | Moderna | No |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): Nope .. easy peasy and very excited to get the shot !!
Release 6 — day 0, dose 2
Systemic reaction (other): Buried a pet cat after my shot .. not sure what current naseau is from. . .
Release 10 — day 0, dose 3
Systemic reaction (other): I expect side effects about bedtime tonight, about 11:00 p.m.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Extreme discomfort under my right arm (lymph nodes?) and into my back, same side i got my shot. My right wrist and hand feel swollen also.
Systemic reaction (other): Under-arm pain FINALLY let up overnight. No discomfort today.
Systemic reaction (other): Under-arm pain resurfaced last night .. it was difficult to sleep, but it was gone by the time I woke up, 7am. Are you reading this?
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Lymph node pain was bad overnight but today, suddenly, it's all gone !
Systemic reaction (other): ** not sure headache is related to the injection.
Systemic reaction (other): Very minor headache, probably from yard work yesterday.
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 |
|---|---|---|---|---|
| SRO | Axillary pain | · | · | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Joint swelling | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Musculoskeletal discomfort | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release