Z3M-17634-52078
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-03-31
Health check-in — day 0, dose 1Feeling: Fair · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Cough, Lung disorder — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: A cough started anout 10pm last night and lasted for about 12hours. Then disappeared as quickly as it appeared. My lungs still feel itchy but im not coughing.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-07
Survey response — day 7, dose 1MedDRA: Cough, Vomiting — Feeling: Fair · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: 2 days ago i gad about 12 hours where i had a deep, loose cough then it cleared. Possibke allergies but strange that it ended so quickly. I also had a severe bout of vomiting Monday night. I've got a possibke ulcer oer my PCP so its probably not covid related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Chills, Cough, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Evening of day 8 a deep loose cough started. Lasted 8 hours. Overlapping with thst were severe body aches, fever @ 101.7 and chills. As those cleared a severe headache started on day 11 and ended morning of day 12MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
- 2021-05-14
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-28
- 2021-10-29
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: Labyrinthitis — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Inner ear infection.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): A cough started anout 10pm last night and lasted for about 12hours. Then disappeared as quickly as it appeared. My lungs still feel itchy but im not coughing.
Release 7 — day 7, dose 1
Systemic reaction (other): 2 days ago i gad about 12 hours where i had a deep, loose cough then it cleared. Possibke allergies but strange that it ended so quickly. I also had a severe bout of vomiting Monday night. I've got a possibke ulcer oer my PCP so its probably not covid related.
Release 7 — day 14, dose 1
Symptoms: Evening of day 8 a deep loose cough started. Lasted 8 hours. Overlapping with thst were severe body aches, fever @ 101.7 and chills. As those cleared a severe headache started on day 11 and ended morning of day 12
Release 11 — 12 months, dose 2
Symptoms: Inner ear infection.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Labyrinthitis | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Lung disorder | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release