Z43-16051-24477
4 vaccinations
7 coded responses
45 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 432 / OH
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LY3-20245-52581
Child or adolescent in my care · Male · 2021-07-17
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-18
Registered in v-safe
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-21
- 2021-01-22
- 2021-01-23
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Migraine — Feeling: FairFree text: Off and on migraine headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
-
2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Ear pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Bones behind my ears hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-22
Survey response — days 1–6 daily, dose 2MedDRA: Bone pain, Ear pain — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessFree text: Bone pain behind earsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain — Feeling: Good · Site: PainFree text: Pain behind earsMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Ear pain — Feeling: Good · Site: PainFree text: Pain behind left ear better todayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-10
Survey response — day 14, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Head cold and cough with chest congestion. Took two home Covid tests both negative. Feeling better now but it's been a week.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
-
2022-09-24
Dose 4 — Moderna
- 2022-10-10
- 2022-10-16
- 2022-10-22
-
2022-10-30
Survey response — day 35, dose 4MedDRA: Office visit, Pre-existing disease — Feeling: GoodFree text: I have had heart fluttering on and off. My doctor checked it this summer and did not feel it was serious. Recently it has started fluttering a bit again.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-05
- 2022-12-26
- 2023-03-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-09-24 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Off and on migraine headaches
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Bones behind my ears hurt
Systemic reaction (other): Bone pain behind ears
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain behind ears
Systemic reaction (other): Pain behind left ear better today
Release 10 — day 14, dose 3
Symptoms: Head cold and cough with chest congestion. Took two home Covid tests both negative. Feeling better now but it's been a week.
Release 12 — day 35, dose 4
Symptoms: I have had heart fluttering on and off. My doctor checked it this summer and did not feel it was serious. Recently it has started fluttering a bit again.
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 | Cough | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Bone pain | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release