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Z47-19180-45331

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
334 / FL
Registered
2021-02-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-02-05
    Registered in v-safe
  3. 2021-02-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Diarrhea
    Free text: Diarrhea may have been caused by being upset about my brother getting a quad triple bypass So Im not sure if it has anything to do with the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Site: Swelling, Itching · Fatigue or tiredness, Nausea, Diarrhea
    Free text: Not sure if the diarrhea is from being upset about my brothers surgery but Ive had it now for three days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness
    Free text: Earlier I was tired but this afternoon I am feeling better and its been three days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Good · Diarrhea
    Free text: A little better. Again still not sure if its nerves because of my brothers surgery
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Diarrhea
    Free text: I am nervous about getting the second shot since I had some reactions to the first. Several people I have spoke to have had bad reactions to the second shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-04
    Dose 2 — Moderna
  11. 2021-03-04
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Muscle or body aches
    Adult check-in
  14. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  15. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-05

Systemic reaction (other): Diarrhea may have been caused by being upset about my brother getting a quad triple bypass So Im not sure if it has anything to do with the vaccine

2021-02-06

Systemic reaction (other): Not sure if the diarrhea is from being upset about my brothers surgery but Ive had it now for three days.

2021-02-07

Systemic reaction (other): Earlier I was tired but this afternoon I am feeling better and its been three days

2021-02-08

Systemic reaction (other): A little better. Again still not sure if its nerves because of my brothers surgery

2021-02-09

Systemic reaction (other): I am nervous about getting the second shot since I had some reactions to the first. Several people I have spoke to have had bad reactions to the second shot.

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
SROAdverse reaction ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓

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